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Zip Code:City: <br />Telephone: <br />Program Record: <br />Permit Posted <br />( <br />~7 B- <br />TemperatureItem / Location <br />< - <br />Name:PPm <br />Other:Quat. Amm.:'arewashing Sink:Exp. Date:PPm <br />Received By/Title: <br />Phone:EH Specialist: <br />Time Out:Time in: <br />EHD 16-24 (2nd pg) 4/3/13 <br />Inspection Type: <br />Re-Inspection on or After: <br />12^ <br />\c\1 —g - <br />: <Si3O <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 />.1 Cvfep - u I r <br />12_6 i~ <br />Cl__ <br />- '-AH \- <br />-Vo \ co ic&r <br />Name of Facility: <br />Address: <br />Warewashing <br />Heat: <br />f 7 t~ <br />2O°l- lo I In- 30'2^' <br />Page-pf <br />FOOD PROGRAM 0IR CONTINUATION <br />°F <br />°F <br />°F <br />Temperature <br />|Oq P <br />c:|~< C kc^-x <br />Facility Hot Water Temperature <br />Hand Sink: op <br />3O\ <br />Owner/Operator: <br />Program Element: \ 7) A. <br />SB180 Posted Yes No Yes No <br />Food Program Official Inspection Report______ <br />corp AAoyfep Dale: IO iS zm <br />CocAAxny^? <br />■ — <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />—I---, r~TZ <br />Chlorine: <br />za <br />Cjj <>27----- <br />Food Safety Certification <br />\ /^A Gzyx -VVxg <br />v-" <br />2-cX py/7 <br />0<c>oW <br />Item/Location <br />Q TSo