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w: <br />> \ <br />Zip Code:<S'V <br />Telephone: <br />Inspection Type: c I OU 2- k <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />! <br />J <br />\' O\^- <br />VqAAkJCQ V^v^yx^? -o X OM v <br />7 <br />Food Safety Certification <br />Chlorine:Name:PPm <br />Other:Quat. Amm.:Warewashing Sink:FExp. Date:PPm <br />Phone: <br />? <br />Temperature <br />\ V Me <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 />v <br />r,P£ogram Record: <br />Permit Posted <br />•°l- 2M <br />Warewashing <br />Heat: <br />Food Program Official Inspection Report <br />Date: <br />°F <br />°F <br />Name of Facility: |\7y <br />Address: 'y <br />Owner/Operator: <br />2- / I <br />No <br />c o 9-0. <br />•S-Cft- "at b- 3O2A <br />Time Out: . \ i O Page of <br />FOOD PROGRAM 0IR CONTINUATION <br />Program Element; <br />SB180 Posted Yes <br /><sy <br />IT ____city; M H <br />Facility Hot Water Temperature <br />Hand Sink: °F <br />Item/Location <br />Received By / Title: <br />Time in: <br />——---------------------------- <br />EHD 16-24 (2™ pg) 4/3/13 ’ <br /><22^ <br />■ mJ <br />7 7 <br />■SM2.CT72-/ SM2C)7X <br />Yes No Re-Inspection on or After: