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OBSERVATIONS AND CORRECTIVE ACTIONS— <br />I Q.onlfâ– £ - HS F <br />TemperatureItem / Location <br />Food Safety Certification <br />ppm <br />ppm <br />°F <br />°F <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.orq/ehd <br />QArib&ppm <br />Name: <br />Exp. Date: <br />Received By/Title: <br />EH Specialist: <br />Time in: <br />Phone: <br />Time Out: <br />Warewashing <br />Heat: <br />Other: <br />Chlorine: <br />Quat. Amm.: <br />EHD 16-24 (2^ pg) 4/3/13 <br />Facility Hot Water Temperature <br />Hand Sink: <br />Warewashing Sink: °p <br />epc, zn r/A Pag^ i <br />FOOD PROGRAM 0IR CONTINUATION <br />fzM? Hy 4400£- <br />-="t:=n_________________Temperature <br />Name of Facility: <br />Address: <br />Owner/Operator: <br />Program Element: <br />SB180 Posted Yes <br />4 IM <br />4- yrvYw <br />^3^ <br />Item/Location <br />4) (o-LW =________ <br />(rwAWSL Ad iCMbfcP <br />TZLi-p or ArTiSS,___________ <br />TT-kry /I ftlctHdL 4- <br />iy h's tWAc-'y <br />_____Food Program Official Inspection Report <br />utnco cm, rryMn licvffl °,1,:4 ks, Ccjoyev' sA- J 1,! AjrrcyHK Z">C°J°: rfexK YAAaflAUiok/ vYtprui/yyy- y Progrim Rece.d: | |.u < X (t'V | Inspection j.J. <br />No Permit Posted Yes No Re-Inspection on or After: