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w: <br />Zip Code:M VA <br />Telephone:Owner/Operator: <br />ten/ <br />SB180 Posted <br />\ <br />0x2^- <br />'d <br />reeV <br />TemperatureItem / LocationItem/Location <br />Food Safety Certification <br />Name:ppm <br />Other:Quat. Amm.:Warewashing Sink:Exp. Date:°FPPm <br />Received By / Title: <br />Phone:EH Specialist: <br />Time Out:Time in: <br />______ <br />Chlorine: <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 />EHD 16-24 (2nd pg) 4/3/13 <br />I I <br />City: <br />2-Oq-bi ^023 <br />I I . ________Pagef1 <br />FOOD PROGRAM OIR CONTINUATION <br />] Temperature <br />^8 F <br />°F <br />°F <br />3 ctT? Ca Y\f <br />_____________Food Program Official Inspection Report <br />Name of Facility: (\j\(VV^z-.C-F/M | Date: Qv ' <br />Address: y AAcCVA <br />Facility Hot Water Temperature <br />Hand Sink: op <br />(AF) <br />k d C<d2-P <br />^Program Record: 2_O-1 2_ / 'S M Inspection Type: <br />Yes No Re-Inspection on or After: <br />Program Element: <br />Yes No Permit Posted <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />Wj - O P <br /><2jO