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rill °! <br />Ity: <br />Telephone:Owner/Operator: <br />Inspection Type:Program Record:Program Element: <br />Re-Inspection on or After:Permit Posted YesSB180 Posted Yes No <br />Qi a-W <br /><70^ <br />t <br />/'■A'TU.- <br />(Gz. <br />Cd A fC^T(3) <br />Temperatureitem / LocationTemperatureItem/Location <br />ihlorine:Name: <br />°FExp. Date:PPm <br />Received By / Title: <br />EH Specialist: <br />Time in: <br />iNUATIONFOOD PROGRAM OIR C(EHD 16-24 (2'0 pg) 4/3/13 <br />__ <br />°F <br />San Joaquin Coi^k <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjqov.org/ehd <br />L <br />A <br />Name of Facility: <br />Address: <br />Warewashing <br />(Heat: <br />__i-Ft. <br />(F ib'SLtxi' C <br />~ Warewashing Sink: <br />Food Safety Certification <br />79 <br />No > <br />'’P <br />Food Program Official Inspection Report z <br />' ‘ <br />Zip Code: <br />Phol”; UUl- <br />Time Out: <br />7>4^Z4-^~ <br />cm fa' 3qrr________ <br />c d _____CG <br />y__PrUrtillL__I T <br />04.// (6\(k __cu^l <br />,—~~ T <br />Facility Hot Water Temperature <br />Hand Sink: «p <br />op llQuat. Amm.: <br />fA/ul fCX/fc <br />k .. - ZLc)^ , A _'fafa- T llfa> I <br />’/-ZOoJ <br />^■/-g A.Lt^. <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />D i <br />(Tfa1 ^r' ( fa 7- C & f g/) <br />^GQvc A <br />ft fa Ter < yfa <br />PPm <br />Other: