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w: n <br />Date:213 <br />Zip Code:44 <br />Telephone: <br />Inspection Type:Program Element:Program Record: <br />Re-Inspection on or After:SB180 Posted Permit Posted <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />OK <br />7^_( \ \ ■ <br />Q <br />Item / Location <br />Name:ppm <br />Other:Quat. Amm.:Warewashing Sink:Exp. Date:°F PPm <br />Phone: <br />Time in: <br />I__ <br />Chlorine: <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.orq/ehd <br />Warewashing <br />Heat: <br />Page^f <br />FOOD PROGRAM OIR CONTINUATIONEHD 16-24 (2'<l pg) 4/3/13 <br />Temperature <br />°F <br />p <br /> OCT <br />°F <br />Yes No <br />Food Program Official Inspection Report <br />City: .O <br />_____" O ^>3x3 <br />Time Out: , ■ 7 <— <br />\kf3_JI <br />Yes No <br />Temperature ____ <br /><0^7 <br />MOF <br />SSr___________ <br />Received By / Title: <br />E H S p e c i a I i st:—t~~~K <br />( -Ac. Kr AlXV <br />Ko <br />Facility Hot Water Temperature <br />Hand Sink: op <br />Name of Facility: V) . <br />Address: *^<2) <br />Owner/Operator: <br />' CaAx>\ V-V\\A <br />2cxvrW? - 122 F <br />QVoV-lJ-x GXu-Jr <br />41— <br />^OxSc^T^z—tA ( <br />Item/Location <br />'2-cVv- <br />v jb'' 2^ A'V p-K •> ; <br />Food Safety Cert