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City: <br />^(.W{7Aink B^hsb-ipr <br />TemperatureItem / LocationTemperatureItem/Location <br />Food Safety Certification <br />Chlorine:Name:°Fppm <br />Other:Quat. Amm.:Warewashing Sink:Exp. Date:°F°F PPm <br />Received By / Tith <br />Phone: <br />fl. <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />nr.r <br />Warewashing <br />Heat: <br />Time Out: < <br />San Joaquin Coun® <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 />Name of Facility: <br />Address: <br />'rogr; <br />Facility Hot Water Temperature <br />Hand Sink: -p <br />d- ?un,5 <br />Yes No <br />EH Specialist: f <br />Time in: I l<\, < ( <br />EHD 16-24 (2^ pg) 4/3/13 <br />Food Program Official Inspection Report; <br />InspecllonTyp^j^p OMItf- <br />Re-Inspection on or After: v I <br />(Wr.HvbJ - LHaA^-nowip/in/ <br />gtBWy pH^4 ot pm urn - /m 1^ - no^ifrpA y <br /><g.Xt>^ u^mrls zUi/1 3 _____ <br />iuL <br />w: EOifi MiafrKtX <br />\2?lop/Y) p,gT F <br />' FOOD PROGRAM 0IR CONTINUATION