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City: <br />Program Element: <br />SB180 Posted <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />TemperatureItem / LocationTemperatureItem/Location <br />Food Safety Certification <br />Chlorine:Name:°Fppm <br />Other:Quat. Amm.:ishing Sink:W:Exp. Date:°F°F PPm <br />Phone: <br />Time in: <br />Warewashing <br />Heat: <br />■ °7/P' <br />ZEEwnSi <br />Yes No <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 />_____.A Tf’Ue.-g^p- <br />Facility Hot Water Temperature <br />Hand Sink: °p <br />PYCP COOtoft- - Q I. p- <br />H** I | IV . <br />&) V^A5J, _ ^7 ________PL^IQO FP^l <br />Name of Facility: <br />Address: Q <br />Owner/Operator: <br />(lYKrii fix& PWosefAXp I tTil n bujghJ <br />i , • N jL <br />Received By / Titlez^Z/L^VZ /L'9 <br />EHSp.C.h..: <br />iQ^WZm <br />EHD 16-24 (2"apg) 4/3/13 <br />noO-brv -^t4L7 <br />Time Out: Pagegof-^ <br />FOOD PROGRAM 0IR CONTINUATION <br />Food Program Official Inspection Report <br />vesH- d,b: is>|i<T|7^ <br />_____Tele|iB°n,7O3-/(?IC) <br />Inspection Type: Z) i <br />Re-Inspection on or After: <br />LSfccUot^, vUw/7 SB? <br />t/VT \ Program Record: <br />Yes No Permit Posted