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-1 <br />( <br /><O <br />'d <br />C \ <br />£O~yr^_> CQ <br />Item / Location <br />\21 <br />t" <br />°F <br />ki_Lkv__2 <br />£ <br />(F37A <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 />Name: <br />Exp. Date: <br />ihlorine: <br />luat. Amm.: <br />•S3 <br />Pagej of <br />FOOD PROGRAM 0IR CONTINUATION <br />°F <br />°F <br />3^' <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />- - "S3 po a <br />C | 3 - <br />, ■- < - <br />| Facility Hot Water Temperature <br />Hand Sink: <br />[Warewashing Sink: <br />Received By____(I U b uy <br />EH 5tK ’ 5'' V- ' -i ______________"b0"" <br />Time in: Time Out: <br />EHD 16-24 (2nd pg) 4/3/13 <br />—^"A~ ~ Y O <br />Temperature <br />\k>S~ <br />- (feoF <br />/ w\ ' <br />__ Item/Location______ <br />^J) V- <br />Food Safety Certification <br />VvO <o5t <br />\QO ppr <br />jc?) Cbovy'A <br />Name of Facility: ^\J\ Q^'y'X <br />Address: p <br />Owner/Operator: <br />Program Element: Program Record: <br />SB180 Posted Yes No Permit Posted <br />___r-O_\ a co <br />Warewashing <br />ppm |Heat:~ <br />ppm <br />Temperature <br />~FCs\CasVx <br />Food Program Official Inspection Report________ <br />Ac~v-> Cr.M Date: <br />1= _____________Clty: 1^ V\_______zlpC°de:____________ <br />Telephone: <br />/ SHZCH,^ inspection Type: t . , — <br />Yes No ' Re-Inspection on or After: