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Zip Code: <br />SB180 Posted <br />A <br />J <br />712 <br />TemperatureItem / LocationTemperature <br />=Food Safety Certification <br />Chlorine:°FppmName: <br />Other:Quat. Amm.:°FWarewashing Sink:ppm°FExp. Date: <br />Phone: <br />EHD 16-24 (2Mpg) 4/3/13 <br />Item/Locatlon <br />Warewashing <br />Heat: <br />San Joaquin Coum y <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 />Received By / Title: <br />Fr v-- <br />EH Specialist: <br />Time in: <br />Facility Hot Water Temperature <br />Hand Sink: °f <br />------------------------- <br />w I <br />Time Out: <br />FOOD PROGRAM 0IR CONTINUATION <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br /><fe) € r <br />Name of Facility: < <br />Address: ^.2./ /j J I I^T . <br />O^rlO^or.QQ j^Qf^fQ^ gfWJ - <br />Program Element: (Program Record: <br />Yes No Permit Posted Yes No <br />_____Food Program Official Inspection Report_______ <br />C 7A /-Iayrr Mm IIP/ Pl£ 5TA dm: S'-1-7 <br />'irH Telephone: - <br />- - ' lnsPectionType:7£^4f <br />Re-Inspection on or After: