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C'^/c^f^.t! <br />ai <br />< V^Ar /^#/eT^w r/sr=-a. <br />c*^ <br />TemperatureItem / Location__ <br />Chlorine:Name:’Fppm <br />Other:Warewashing Sink:Exp. Date:°F°F ppm <br />Phone: <br />EHD 16-24 (2nd pg) 4/3/13 <br />Warewashing <br />Heat: <br />Facility Hot Water Temperature <br />Hand Sink: op < <br />San Joaquin Col . y <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 />Quat. Amm.: _______ <br />Name of Facility: <br />Address: <br />■/'$ 4>«? <br />Received By/Title: ' <br />EH Specialist: <br />Time in:Paq^z of <br />FOOD PROGRAM OIR CONTINUATION <br />Temperature <br />■>—* t<£t s<'rr ^ps' <br />Zfe&sP- -T' <br />Owner/Operator: <br />Program Element: <br />SB180 Posted <br />- <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />- HHL LUO'/ry'' ~/a <br />J** - <br />____________• <br />Food Program Official Inspection Report <br />~tS /~g<y^7^ >-C Date: <br />City: ZA ZipCode: <br />/^cJ Te'ephone: <br />Program Record: Inspection Type: <br />Permit Posted Yes No Re-Inspection on or After: <br />Ste 9 S’ <br />Yes No <br />Time Out: <br />'ki^ld gli 'S <br />y He <br />i Item/Location <br />sh>■__— <br />I <br />'f?f?** '(?- <br />Food Safety Certification