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CSSo <br />Zip Code:City: <br />Owner/Operator:Telephone: <br />Inspection Type: <br />SB180 Posted Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br /><W~\V| <br />Q <br />■^4 -°\ \\o-k <br />TemperatureItem / Location <br />12 <br />Name:ppm <br />Other:Warewashing Sink:!Quat. Amm.:Exp. Date:PPm <br />Phone: <br />Time in: <br />EHD 16-24 (2nepg) 4/3/13 <br />J__ <br />Chlorine: <br />San Joaquin Cou ' <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 />_p_L_S. <br />’V <br />Name of Facility: <br />Address: <br />Warewashing <br />Heat: <br />2^ <br />Pagc^of <br />FOOD PROGRAM 0IR CONTINUATION <br />°F <br />°F <br />°F <br />) <br />L— <br />EH Specialist: <br />w.' <br />Program Record: <br />Permit Posted Yes No <br />___________________ <br />US t <br />Food Program Official Inspection Report <br />• OsSo Date: I Q - -7- I o <br />Received By / Title"^|(^ <br />Temperature <br />mF <br />Ml h________ <br />_________ <br />Facility Hot Water Temperature <br />Hand Sink: op <br />' VkJ <br />vol F~ <br />VVrA At 7^? <br />x \ 02^ - <br />v "5 \ <br />Item/Location - <br />Food Safety Certification <br />Program Element: y \qC( <br />Yes No <br />M loft-0330 <br />TimeOot: <br />A- ’^zX <br />Q Jc -k C\