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City: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />/H-7 m <br />r Item / LocationItem/Location Temperature Temperature <br />Food Safety Certification <br />Name:hlorine:°FPPm <br />Exp. Date:Warewashing Sink:Other:°FPPm <br />EH Specialist: <br />Time in:Time Out: <br />San Joaquin Count. <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.orq/ehd <br />Name of Facility: <br />Address: <br />Pag^ oft^" <br />FOOD PROGRAM 0IR CONTINUATION <br />Warewashing <br />Heat: <br />Facility Hot Water Temperature <br />Hand Sink: op <br />I O lOn <br />EHD 16-24 (2"dpg) 4/3/13 <br />op Quat. Amm.: <br />Phone: <br />Owner/Operator: , <br />Program Element: <br />SB180 Posted Yes <br />< b •£\ <br />A/ Q'hV <br />Program Record: <br />Permit Posted <br />w <br />k> <br />,<13.04/ ^ <br />5/^^ I u_______ <br />—/IQp <br />Yes No <br />S S>qltcvv\ l/y <br />.-Sdlac'u "Uy. . _ <br />XJ % ii Puk vf _______ <br />Vim-F di- <br />^Or~~u<f iW. jYlHV ■ ' <br />i\r h I A iT i 1 <br />Food Program Official Inspection Report <br />ChickIp^ Rv)- Date: <br />M City: ZipCode: 1 _~ <br />l/utk Telephone: ~7~ <br />I g ( Program Record: f Inspection Type: <br />; No Permit Posted Yes No Re-Inspection on or After: