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City: <br />Inspection Type:Program Record:Program Element: <br />Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />IZ <br />to <br />CL <br />Item I Location TemperatureItem/Location Temperature <br />Food Safety Certification <br />hlorine:Name: <br />Warewashing Sink:Exp. Date:luat. Amm.:F <br />Received By I Title: <br />I c <br />Time Out: <br />EHD 16-24 (2nd pg) 4/3/13 <br />EH Specialist: <br />Time in: <br />Phone: <br />San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siqov.org/ehd <br />SB180 Posted Yes No <br />CoS <br />Page^ of <br />FOOD PROGRAM OIR CONTINUATION <br />------------------------- <br />Name of Facility: <br />Address: <br />3 <br />Permit Posted Yes No <br />°F <br />Zip Code: _ .___ 3 az­ <br />Telephone: <br />1^)0 - f- <br />' - ---- <br />_____Food Program Official Inspection Report <br />Sh/Lp jS.i / Pate: <br />Owner/Operaton / <br />//■ PH________ <br />Io9> F • 5 kt ‘/7< Z7 • <br />Warewashing <br />ppm |HM,? <br />ppm ||other: <br />Facility Hot Water Temperature <br />Hand Sink: oF|Fh <br />°F pu <br />®> Vkc'5- <br />' M/q.iiv) e r — <br />—//f /2^-F, I--