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-■ <br />Telephone: <br />EL <br />Item / Location TemperatureTemperatureItem/Location <br />Food Safety Certification <br />Chlorine:°Fppm <br />Quat. Amm.:Other:°F °FPPm <br />EH Specialist: <br />Time in: <br />Name: <br />Exp. Date: <br /><>74,4 cVL <br />i. <br />San Joaquin County <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 />Warewashing Sink: <br />Inspection Type: <br />Re-Inspection on or After: <br />Warewashing <br />Heat: <br />Program Element: <br />SB180 Posted <br />Pagejjof <br />FOOD PROGRAM OIR CONTINUATION <br />Program Record: <br />’es Rermit Posted <br />Facility Hot Water Temperature <br />Hand Sink: op <br />|Reeeived By ,Tl"^. <br />EHD 16-24 (2nd pg) 4/3/13 <br />-/zli U I ~~ F <br />Name of Facility: <br />Address: <br />Owner/Operator: <br />____ <br /> Yes I <br />fUtzAC n '• <br />:-W, <br />Ta <br />' City: <br />--------------------------------------------------------------------ZHl- <br />' (AJr 'loi(X.£d-^ h <br />>15 {&A- <br />F) /-|~Cck\d yLj aA <br />Lu__l11£__LMaEu <br />whY p < <br />Phone: / <br />Time Out: 17 fQS <br />Food Program Official Inspection Report ■ <br />Date: j I <br />Zip Code: ' ■ <br />___________________________OBSERVATIONS AND CORRECTIVE ACTIONS <br />Y " t ' ‘ ~ ; ■ <br />ft Cl <br />Arf u CH Qy.Zzj — f'ov <br />CFfry <br />Si 7^—