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City: <br />Program Element: <br />Re-Inspection on or After:Permit PostedSB180 Posted <br />zZ, ■ < QoS <br />Temperature <br />Food Safety Certification <br />°FName:ppm <br />Other:Quat. Amm.:Warewashing Sink:Exp. Date:F PPm <br />EH Specialist: <br />Time in: <br />EHD 16-24 (2n0pg) 4/3/13 <br />Chlorine: <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.sjqov.org/ehd <br />/ <br />Ma <br />Name of Facility: <br />Address: <br />Warewashing <br />Heat: <br />rage ui •. <br />/ ") <br />FOOD PROGRAM 0IR CONTINUATION <br />Received By / Tit^e: <br />VO <br />\ - ,45 -><-7 C r /a (./?*( <br />_____£7 <rT>>yz>>AZ-Cv< <br />°F <br />■Zz <br />-. d'l (&&h <br />kvi <br />|3<F- r\i Fn (XL tv# <br />Item/Location <br />, 5^^ Z? 2< <br />I og ~ p . <br />IMS <br />Yes No <br />Si <br />-,________ __________________ __ <br />Facility Hot Water Temperature <br />Hand Sink: °p <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />f _______________ <br />Z /2c? f-_____________ <br />MLj - J^WZWLL <br />Lf I ______ZD i\t <br />r__________ _________________________— <br />(Oo^ Iv3f’____________- <br />f^s <br />____ <br />Temperature Item/Location <br />____________ <br />27vC3 ' o: ____'____Phone: _ <br />J ________ TlmeOu,: /2 Pzv__________pa9e)ot <br />3 $;nl4jA)<,'/>, f? t <br />—--------------------------------------- <br />____fn w ^--3T~ <br />cL - f"" <br />, ?z> p < <br />^rQ -----1 - 1 <br />Program Record: ) > <br />Yes No <br />______Food Program Official Inspection Report <br />/ rLt cu Dale: 6 -^- 24.27 p :ci,y: <br />Owner/Operator: 1 / Telephone: <br />Inspection Type: <br />_________ —fQ