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Telephone: <br />SB180 Posted <br />(v\ SP \ y\C A <br />(\5 yX»/x. <br />r\_r <br />(C \GO Aq - 'd <br />1 <br />£ <br />ft <br />X <br />:hlorine:Name:PPm <br />Other:!uat. Amm.:Warewashing Sink:Exp. Date:°F PPm <br />Received By/Title: <br />Phone: <br />Time Out: <br />Warewashing <br />Heat: <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 />C.Y□ <br />Temperature <br />Page ^of j-- <br />FOOD PROGRAM 0IR CONTINUATION <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />Item / Location ___________ J Temperature <br />0 0 CcQ _______ <br /> ^20 I FT <br />__________________________________ <br />->i^SF <br />\.3 ) ; <br />°F <br />5yd) <br />V~ \ \ v p \ ro • <br />°F <br />Facility Hot Water Temperature <br />Hand Sink: op <br />----1 <br />-ftr\e6 <br />Food Program Official Inspection Report <br />c bm /~T^ Date: (0-^>a</ <br />. City: /\A VA- ZiPCode: <br />A-v€ <br />-------------------- <br />EHD 16-24 (2nd pg) 4/3/13 <br />Inspection Type: -Q <br />________ v"<X_ <br />Re-Inspection on or After: <br />[Program Element: ^^rogram Record: ^<4 2.07 <br />Yes No Permit Posted Yes No P" <br />Name of Facility: l\/\ <br />Address: <br />Owner/Operator: <br />A C <br />EHSpeclall;^^z^_xr<, - <br />Time in: <br />0 S- odv 06? <br />^2p2CO—C <br />( 1^0 v fv\ (Xyr-^J <br />n\ \ - p <br />\Vo )^>kjV3>V>/n 's <br />U SE <br />- <br />Item/Location <br />- FK <br />ma