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Zip Code: <br />Telephone: <br />Program Record: <br />Permit Posted <br />Item / Location <br />Name:°FPPm <br />Other:Quat. Amm.:Warewashing Sink:Exp. Date:F°F PPm <br />Phone: <br />Time Out:Time in: <br />EHD 16-24 (2nopg) 4/3/13 <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 />Inspection Type: <br />Re-lnspection on or After: <br />Warewashing <br />Heat: <br />\ 22^n_______Page7f M <br />FOOD PROGRAM 0IR CONTINUATION <br />-V <br />Certification <br />Temperature <br />Facility Hot Water Temperature I <br />Hand Sink: Chlorine: <br />~5 >5^-1 S <br />Yes No <br />Program Element: y <br />SB180 Posted Yes No <br />| Temperature <br />0 <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />G) *\ Q ap-zA-^sH - CryC <br />Received By! Title: <br />EH Special 1st: <br />Ax ■<■—1__ <br />_ Item/Location <br />_____________Food Program Official Inspection Report <br />Name of Facility: 5 Date: | ■ <L3~ <br />Address: <br />Owner/Operator: