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Zip Code: <br />Telephone:Owner/Operator: <br />Program Element: <br />Permit PostedSB180 Posted <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br /> <br /> (J <br /> ro <br /> <br />(4 <br />7. <br />IS •1 <br /> <br /> <br /> <br /> <br /> <br />. rrOCA-f cl^-rrno <br />TemperatureItem / LocationTemperature <br />Food Safety Certification <br />Chlorine:FName:ppm <br />Other:Quat. Amm.:Warewashing Sink:Exp. Date:ppm <br />Received By/Title: <br />Phone: <br />Page^of <br />FOOD PROGRAM OIR CONTINUATION <br />Warewashing <br />Heat: <br />___________ <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 />Item/Location <br />Name of Facility: <br />Address: <br />°F°F <br />Facility Hot Water Temperature <br />Hand Sink: op <br />Food Program Official Inspection Report_______ <br />>4/7/7Dale: <br />^4- zipColle: ^5^)6 <br /> 'AocJ-m Te'ephone: <br />Inspection Typer^, <br />Re-Inspection on or After: <br />IS; <br />yVSHS;' <br /> <br />EH Specialist: <br /> <br />Time in: / ’p <br />EHD 16-24 (2nd pg) 4/3/13 <br /> <br /> <br />oF <£rjvi ps <br /> odl ' <br />Fr'i __ <br />Program Record: <br />Yes No <br />3X <br />/yv /-? <br />Yes No <br />^53- 72/7 <br />Timeout: