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OBSERVATIONS AND CORRECTIVE ACTIONS <br />[ o <br />^2^ <br />1 <br />= <br />Item / Location <br />- <br />Food Safety Certification Heat:Chlorine:Name: <br />Other:Quat. Amm.:°FExp. Date: <br />y <br />Time Out: <br />EHD 16-24 (Z^pg) 4/3/13 <br />°F <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.org/ehd <br />Received By / Title: <br />EH Specialist: <br />Time in: <br />Temperature <br />J L -l/ | <br />Phone: <br />Facility Hot Water Temperature <br />Hand Sink: °f <br />Warewashing Sink: <br />--e______p f Ji K <br />/O() J 7 f-< ^>S, <br />l'') (J JZ> Kt /__________ <br />ppm <br />^7/s- pH 9e <br />FOOD PROGRAM OIR CONTINUATION <br />Owner/Operator: <br />Program Element: <br />SB180 Posted Yes <br />Name of Facility: <br />74?% At <br />'O Z Program Recprd:7/7 / :__ _________ <br />cNd Permit Posted Yes <br />-------------\ V>/X4^ <br />. - )// /Zl-C l/o <br />Item/Location <br />6- ^/S £< ‘------—---------7------------ --t— ----------1>—jy <br />7-Z C f q 'TGCC'OS bFlQTTx <br />-—3 S iZv IiC—4-^ ZL—_ <br />s~ Z/l/^’/zjfT <br />-------Hi ip p, <br />< w - , 7^—' 7----------- <br />°F <br />ijjf / ipg- . <br />a ____ <br />ffiwi O kr —k— <br />j— eP ZzL_________ <br />Temperature <br />_____Food Program Official Inspection Report_____ <br />fx^A /- °ate: ^TViTl <br />‘ ■ City: - / z', . _ Zip Code: z <br />--------------------//< / _-------7 •> -> > c-—Telephone: / <br />p>c or,? 2 r 7 J "'■^«i°" T»- <br />No Re-Inspection on or After: <br />rvCenn.