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Zip Code: <br />Telephone:Owner/Operator: <br />Inspection Type:Program Record:Tv <br />Re-Inspection on or After:Permit Posted <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />CX <br />' V <br />Name:ppm <br />Other:Quat. Amm.:Warewashing Sink:Exp. Date:FFPPm <br />Received By / Title: <br />Phone: <br />Page—ofTime Out: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 />Warewashing <br />Heat: <br />Item/Location <br />IGO- <br />3^ <br />FOOD PROGRAM 0IR CONTINUATION <br />I ssx <br />city' <br />a^'r-1 <br />Temperature <br />5^ r <br />°F <br />____'el r- <br />i si r <br />i r <br />I Facility Hot Water Temperature II <br />Hand Sink: op Chlorine: <br />Food Program Official Inspection Report______ <br />Date: 2,2-1 q. <br />Program Element: \ <br />SB180 Posted Yes No <br />> (2<7NVAG <br />M V3 ~ <br />I • SO <br />Temperature Item / Location <br />_________ <br />Sj <br />(W <br />S I xx\d-OSy>'2;> t \ c <br />C V) A <br />(OE£> 6—___ <br />EH Specialist: \ / . J7 A A <br />f-g v V^vA/~ <br />^2 SO z9wk <br />EHD 16-24 (2"» pg) 4/3/13 <br />Name of Facility: <br />Address: <br />s <br />1 'c> <br />AjJ -z - IA |A <br />Food Safety Certification