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Date: <br />Zip Code: <br />Owner/Operator:Telephone: <br />Program Element:Program Record:Inspection Type: <br />SB180 Posted Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />O <br /> <br /> <br />Food Safety Certification <br />Name:hlorine:°FPPm <br />Exp. Date:luat. Amm.:Other:°F FPPm <br />Received By / Title: <br />Time in:Time Out: <br />b f-zS'/zoli <br />San Joaquin CounW <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 /> '/I'd. ‘ A <br />Name of Facility: <br />Address: <br />Warewashing <br />Heat: <br />Food Program Official Inspection Report <br />3 <br />City: <br />/ 4 <br />D Yes Rermit Posted <br />Ck I o c-o <br /> <br />/Od ) <br />Temperature <br />Warewashing Sink: <br />be, ' <br />J L}- kovyrA \ . <br />(j Item/Location <br />Phone: <br />FPO 2 4 / F <br /> Yes DI <br />" SPeC'a"St: Lj- <br />EHD 16-24 (2~pg) 4/3H3 ’ <br />Facility Hot Water Temperature <br />Hand Sink: op <br /> <br /><1 <4 <br />ccTiboI Cs tk xly <br />Temperature Item / Location ' <br />FrUvTr-S <br /> H F He <br />@L <br /> <br /> eni'l , PLOkn . 1__ <br />Fl F <3AA<d O-t HiaJ , <br /> <br />3 I <br />F6 - 03^' Z <br />f6od program oir continuation <br />do UL,