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Zip Code: <br />Telephone: <br />Program Element:Program Record: <br />SB180 Posted <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />(a 4w. <br />ok*2, <br />_____y <br />ex <br />t<L? <OCy-X~v (2 <br />OKVJ i Xey U <br />V- -(oCOA <br />Cl- <br />item! LocationItem/Location Temperature <br />fl <br />Name:Chlorine:°Fppm <br />Exp. Date:Quat. Amm.:Other:°F °FPPm <br />Received By / Title:ti <br />EH Specialist: <br />Time in:4'. <br />EHD 16-24 (2"'i pg) 4/3/13 <br />Warewashing <br />Heat: <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 />Name of Facility: <br />Address:AS 2Q^o <br />Page-, of <br />FOOD PROGRAM OIR CONTINUATION <br /> Yes I Yes Hermit Posted <br />Temperature <br />V'.l F <br />Facility Hot Water Temperature <br />Hand Sink: op <br />Food Safety Certification <br />Food Program Official Inspection Report <br />OS L’ • Q <br />s pkt <br />(p, kb-A \ \ VV \J <br />_____A c~ \ ________" <br />\ /■- _ . \ p.f\J C-^-O^x-^) \ <br />FkJ |- <br />S-t _____ <br />___Phone: <br />Time Out: <br />Inspection Type: <br />Re-Inspection on or After: ' <br />Warewashing Sink: <br />______________ <br />Owner/Operator: <br />City: sVxE-Wa