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Zip Code:City: <br />Telephone:Owner/Operator: <br />Inspection Type:Program Record:Program Element: <br />Re-Inspection on or After:Permit PostedSB180 Posted <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />Temperatures 4 TemperatureItem / LocationItem/Location <br />Food Safety Certification <br />Chlorine:Name:°F <br />Quat. Amm.:Exp. Date:°F°F ppm <br />Received By / Title: <br />Phone: <br />Time in: <br />San Joaquin Coun. . <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: <br />Pagegof -> <br />FOOD PROGRAM 0IR CONTINUATION <br />,',.o - <br />Yes NoYes No <br />Food Program Official Inspection Report <br />S I _______________________________________________ Date: (Q— <br />Facility Hot Water Temperature <br />, Hand Sink: oF <br />/ ■ War&vashing Sink: <br />Warewashing <br />Other: <br />EH Specialist: \ y. <br />I \ ,\^o>rc\ <br />EHD 16-24 (2nd pg) 4/3/13 <br />Time Out: