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City: <br />E ACTIONS^5 <br />: \ - <br />O\6 <br />O' <br />Chlorine:Heat: <br />Other:Warewashing Sink:Quat. Amm.:°F°F PPm <br />Phone: <br />c <br />EHD 16-24 (2nd pg) 4/3/13 <br />Warewashing <br />PPm <br />San Joaquin Coun <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />___O ___ <br />VW \ <br />& <br />\G <br />Time Out: <br />201- <br />__________ <br />°F <br />PageNet <br />FOOD PROGRAM 0IR CONTINUATION <br />Temperature n <br />c\o p W- \ G <br />\GoF r'^ <br />\b\ F <br />ISBF <br />item l Location <br />c <br />V \<^g.F)\ <br />A ygj? <br />cor r> (Frcr? <br />Facility Hot Water Temperature <br />Hand Sink: op <br />I emperatom <br />OBSERVATIONS AND CORR <br />C-cT—\ £\ 1 - / ■ /"' * <br />__ ___W__________ <br />VW \GM V <br />V)0 (C£LA-ZL_ \ G G> F_________ <br />w. ,t. <br />Item/Location <br />\ (Xxj-\F Gs . <br />Fr OG-j ) ______________ <br />F W-W VG, <br />F- <br />..-F«y>d Safety Certification <br />Received By / Title: <br />EH Specialist: “ <br />Time in: <br />Uy^V^ ___________________ <br />- * J - nG -TlFS. ~~ Qja-x c <br />:C \ - <br />i- 'e <br />Qi" \ \5O <br />C \ I FO <br />______ <br />■ i^/v^ <br />yLsV \oi i=__________ <br />C)\C - pF) o \ Q <br />_____________Food Program Official Inspection Report_____ <br />Name of Facility: Cc-^UA \ Wwg-X ______________________________Date: k}-ZQ-( 5 <br />Address: _______________________CitV: UQcG_____________ZipCode: q 2 <br />Owner/Operator: 7 Telephone: <br />Program Element: \VjC[ Program Record: Inspection Typery . c,. <br />SB180 Posted Yes Hermit Posted Yes □! Re-Inspection on or After: