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Owner/Operator:Telephone: <br />Inspection Type: <br />SB180 Posted Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />( <br />Item / Location <br />( <br />c <br />Certification <br />Chlorine:Name:PPm <br />Warewashing Sink:Quat. Amm.:Other:Exp. Date:°FFppm <br />Received By / Title: <br />Phone:EH Specialist: <br />Time Out:Time in: <br />Temperature <br />is-q. P <br />C^C-lo? <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 />Name of Facility: <br />Address: «=r <br />M I F | <br />\ F _ <br />Page_^>f <br />FOOD PROGRAM 0IR CONTINUATION <br />MLE <br />2A3JE <br />SszE <br />Q&p - <br />Warewashing <br />Heat: <br />Food S <br />Program Record: 3 S <br /> Yes I <br />°F <br />Facility Hot Water Temperature <br />Hand Sink: op <br />Item/Location <br />\q\ a -VOvdfc 'x <br />) <br />H-^O^zrx. <br />EHD 16-24 (2'wpg) 4/3/13 <br />Program Element: <br /> Yes Permit Posted <br />FXv.P I -Wc~3 <br />CLtUa VAA\ ZP\2-2,<7x <br />ooo - \~11F <br />Z A t-LSe, ajP ’5>°T “F <br />\-VV cXf; -< <br />E) \ XVpA x <br />Temperature <br />AoO r 1 <br />Qy SEiJ- I ,3j A\Jf \cxr< <br />Food Program Official Inspection Report_______ <br />Pr\ T CitV: I ‘^pCode: