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OBSERVATIONS AND CORRECTIVE ACTIONS <br />T4- <br />o <br />he0-9 <br />n <br />V l vOtsv^y^Ac <br />mr <br />-4sr - <br />| Temperature JI Item / Location <br />£ <br />Name:F <br />Quat. Amm.:Warewashing Sink:Exp. Date:°F ppm <br />Phone: <br />Page of —Time in: <br />FOOD PROGRAM OIR CONTINUATION <br />San Joaquin Coun <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 />°F <br />Name of Facility: <br />Address: <br />^3 J & <br />~1 <br />Chlorine: <br />.y\ . Cxr\ <br />- c FO <br />- HH <br />vA r\ <br />Warewashing <br />Heat: <br />Temperature <br />VB1F <br />\ b*? <br />I kob R <br />Food Safety Certification Facility Hot Water Temperature <br />Hand Sink: »p <br />I M ~ <br />Mbfi -O5K?> <br />Time Out: <br />\<_£ <br />,V/-\ ‘S t - <br />Fai <br />______ <br />S \ "bS <br />Yes No <br />CX-Aj^C/^x * <br />,C^ j? <br />f rz^JL^x r 7v <br />Received By / Title: <br />EH Specialist: <br />EHD 16-24 (2"°pg) 4/3/13 <br />t S \ \~~ cr< <br />Food Program Official Inspection Report_______ <br />x CC\c*—z c Pate> ig <br />.M city:VdUx_<<v? zipC°de: RSSSo <br />W Os^ , 2 v Telephone: <br />y Program Record: Inspection Type: —y <br />No Permit Posted Yes No Re-Inspection on or After: ~ J <br />hV~X?5Y^<h?A \)cv—<\-e^L - <br />C~~\ ? f\C\ f C~ by-x d I <br />Jj _______________ <br />hvAj_ ________________ _______________,---------------,------------- <br />3 / 4 QO Qbo-Jr <br />-^A-^ <Vo ~ V>r>X-9-7_ X^VqoSlp^I xv t<-Qj <br />\Ax P-g p<>j, My ' <br />Item/Location <br />/ j \ ch. P-A p<>y Q.. <br />Gj 2,6-^ 3LAc&x <br />PPm <br />Other: <br />A hA <br />Owner/Operator: <br />Program Element: <br />SB180 Posted Yes