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Program Element: <br />SB180 Posted <br />2 — n r> <br />TemperatureItem / LocationTemperatureItem/Location <br />Food Safety Certification <br />Chlorine:°FName:ppm <br />Other:Quat. Amm.:°FExp. Date:°F ppm <br />Phone: <br />Time in: <br />San Joaquin County <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 />Pag'eyjfy <br />FOOD PROGRAM 0IR CONTINUATION <br />, I <br />Facility Hot Water Temperature <br />Hand Sink: <br />Warewashing Sink: <br />L ----- <br />-fel (it).hot hl)iA is>IS w LU-T)(ui^ Ar tpcs- ym?ipTns. _____________ <br />Received By/Title: T/f <br />UazuKam <br />EH Specialist: I A A r <br />LWE <br />EHD 16-24 (2nd pg) 4/3/13 <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />Name of Facility: , <br />Address: A <br />Owner/Operator: ( ' <br />Yes No Permit Posted Yes No <br />Food Program Official Inspection Report <br />-i"' f L/ '-k’S, / 1 — 'z * ' - \ zip Code: U <br />TelePhone^^t^J^D1 <br />Inspection Type<^pj^ -/ <br />Re-Inspection on or After: