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w: <br />Zip Code: <br />Telephone: <br />Inspection Type:Program Element: <br />Re-Inspection on or After:Permit PostedSB180 Posted <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />I <br />.o k_ • <br />( Ox? - l O -g I- . <br />TemperatureItem / LocationTemperatureItem/Location <br />Food Safety Certification <br />Chlorine:Name:PPm <br />Other:Quat. Amm.:Exp. Date:°F PPm <br />Received By/Title: <br />EH Specialist: <br />Time Out:Time in: <br /><S) 'pcutT'________ <br />San Joaquin Cour <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 />Pa9e/ 0,lz <br />FOOD PROGRAM OIR CONTINUATION <br />■- <br />■i F <br />Phone: ■2^73^3 1? <br />31QQ PH_______ZPM <br />EHD 16-24 (2nd pg) 4/3/13 <br />°F <br />°F <br />rrg/y/2- <br />— <br />Facility Hot Water Temperature / <br />Hand Sink: op <br />Warewashing Sink: <br />__44 \>-lA <br />^4 <br />Clty: <br />C.C>f.L <br />e V3<cx>vvC^ <br />r 4\ ■■■ tc±_ <br />A. .s ___\ o"4 - <br />---------- <br />o 4- < . <br />IAStlaV\\Op , <br />■ 0X44 <br />-O TTk.casJj-A- <br />u oi- <br />Yes No <br />_____________Food Program Official Inspection Report_______ <br />Name of Facility: St tc/ic'ar^ Zk <7 < <br />Address: y Z'P ^2/S~ ' <br />Owner/Operator: I, Telephone: <br />Pr°^amRet:°rlf /y PCg? 7/? Inspection Type: _ ^,71/ <br />Yes No Permit Posted Yes INo Z Re-Inspection on or After: 7