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''K'jrr _t- f <br />Zip Code:City: <br />Telephone:Owner/Operator: <br />Inspection Type:Program Element:Program Record: <br />Re-Inspection on or After:NoPermit Posted YesSB180 Posted Yes No <br />2 <br />I <br />M'O r <br />___ <br />_____ <br />— <br />Item I LocationTemperature <br />Food Safety Certification <br />Chlorine:Name:°FPPm <br />Other:Quat. Amm.:Warewashing Sink:Exp. Date:°F°F PPm <br />Phone:EH Specialist: <br />Page ofTime Out:Time in: <br />FOOD PROGRAM OIR CONTINUATIONEHD 16-24 (2nd pg) 4/3/13 <br />Warewashing <br />Heat: <br />Facility Hot Water Temperature <br />Hand Sink: op < <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.sjqov.org/ehd <br />— <br />— <br />— <br />— <br />Name of Facility: <br />Address: <br />Received By/Title: <br />- <br />Food Program Official Inspection Report <br />Date: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />_________ <br />____- <br />— <br />1 7 *(Mm/ <br />T <br />____ <br />Item/Location <br />>5 <br />Temperature <br />IZZ/Z^_