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Zip Code:City: <br />Telephone:Owner/Operator: <br />2 '> <br />NoPermit PostedNoSB180 Posted <br />___ <br />i <br />1 <br />_ <br />___ <br />- <br />0 IC- <br />_____¥l <br />\ <br />_______—_ <br />Item/Location <br />Heat:Chlorine:°F <br />Other:Quat. Amm.:Warewashing Sink:Exp. Date:°F°F ppm <br />I - <br />Page ofTime Out:Time in: <br />EHD 16-24 (2nd pg) 4/3/13 <br />OBSERVATIONS AND CORRECTIVE ACTIONS — <br />cl=[ <br />Facility Hot Water Temperature <br />Hand Sink: op <br />Warewashing <br />ppm <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.orq/ehd <br />— <br />— <br />J <br />/u / 7'- <br />Name of Facility: <br />Address: <br />Program Element: <br />Yes <br />Received By / Title: <br />EH Specialist: <br />Inspection Type: <br />Re-Inspection on or After: <br />/I 1 _ <br />( -J <br />Temperature T . __________Item/Location <br />__________ <br />= <br />Food Program Official Inspection Report <br />Date: <br />ot <br />FOOD PROGRAM OIR CONTINUATION <br />Program Record: <br />Yes <br />___________ <br />Phone: <br />— <br />Food Safety Certification <br />Name: <br />______ <br />V-l < <br />_______________ <br />_________ <br />______________ <br />— <br />/ "F <br />I-; - ''I <br />Temperature <br />—