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Owner/Operator:Telephone: <br />Inspection Type:Program Record: <br />SB180 Posted Re-Inspection on or After: <br />< <br />M4F_ <br /> <br />GA3.D- FQ) r~ <br />Item / Location <br />\ A P v- P "2 <br />ir£> <br />Name:hlorine:Fppm <br />Exp. Date:farewashing Sink:Other:luat. Amm.:FPPm <br /> <br />Phone:Io- ^03S <br />(q — N VXA _ <br />Received By / Title: <br />EH Specialist-— <br />Time in: <br />a <br />4 <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.orq/ehd <br />2_ck F QcyeJl 33 p <br /> <br /> <br /> <br />P i UF <br />H Opt <br />Name of Facility: <br />Address: <br />Warewashing <br />Heat: <br />Page^jf <br />FOOD PROGRAM OIR CONTINUATION <br />Bo I J~ <br />EHD 16-24 (Z^pg) 4/3/13 <br />13 3 <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />05 50..SF <br />Temperature <br />oir <br /><-G <br />Food Program Official Inspection Report <br />Q3SQ Date: y 2 <br />Zip Code: <br />°F <br />i—__ <br />Food Safety Certrfication <br /> <br />\^T(.V\2 <br />\3q\~~ <br />n/Location <br />___\°i9r <br />Facility Hot Water Temperature <br />land Sink: <>F <br />Program Element: <br /> Yes Permit Posted <br />City: <br />2-ok <br />C \ <br />Temperature <br />^SOc' ' TlmeOut: <br />( P-sd — 5 5 y- C ~ cjxSxf rx/ <br /> F, p!y\Jc ~ hq p <br />>.• r-^- <br />w: [VFj L