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No <br />NS AND CORRECTIVE ACTIONS <br />Z c V?»vVVq <br />T <br />M*' <br />Name:°F <br />Warewashing Sink:Quat. Amm.:°F°F ppm <br />Phone: <br />Time Out: <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 />r- y ■■ <br />Received By / Title: <br />EH Specialist:^ \ <br />Time in:V C2-& <br />EHD 16-24 (2"°pg) 4/3/13 <br />Name of Facility:. <br />Address: <br />I <br />Page^fT^ <br />FOOD PROGRAM 0IR CONTINUATION <br />C. <br />No <br />Facility Hot Water Temperature <br />Hand Sink: oF <br />VOS-X/x <br />Item/Location Temperature <br />1^7^ <br />\ <£______ <br />Item I Location <br />I <br />Chlorine: <br />I20 n <br />7 (Or~ <br />\<A fe.pov <br />TO <br />Temperature I <br />H ( F ^5 <br />Warewashing <br />ppm |Heat: ' <br />Other: <br />Uor iE, 1 SX p <br />< I PS P <br />Al F <br />Program Record: <br />Permit Posted Yes <br />I |Vvg - lOOhf <br />Q&T) - M 1 \~ <br />-S.i F_______ <br />P>S t~ <br />Food Safety Certification <br />_____—________________ <br />Exp. Date: <br />Owner/Operator: <br />Program Element: y. <br />SB180 Posted Yes <br />Food Program Official Inspection Report <br />JcsP y <? Date: K ■ - -L - < ~ <br />' City: Zip Code: <br />Telephone: <br />Inspection Type: <br />Re-Inspection on or After: