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c&/<(City: <br />i <br />-Eo^ <br />1A* <br />1L <br />I'L- <br />/‘r.^144- <br />7 <br />1 TemperatureTemperature [Item/Location <br />Food Safety Certification <br />arewashing Sink: <br />ppm <br />ppm <br />Chlorine: <br />Quat. Amm.: <br />\s$ <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 of Facility: <br />Address: <br />Name: <br />Exp. Date: <br />Phone: <br />Time Out: <br />Warewashing <br />Heat: <br />Other: <br />Page | of £ <br />FOOD PROGRAM 0IR CONTINUATION <br />(xl1 /Ag f <br />/<1c< <br />fit <br />°F <br />°F <br />Item / Location <br />Vv-vul \o »zZ <br />_____Food Program Official Inspection Report_____ <br />M Date: <br />______________City: zipcode: <br />Owner/Operator: Telephone: <br />Program Element: Program Record: / flZC VC Z- Inspection Type: <br />SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br />tflfa y <br />Facility Hot Water Temperature <br />F <br />F <br />4^__ <br />/><!$ <br />_-hu <br />4< <br />^i//d <br />_-ok <br />Received By / Title^J^^Z <br />EHSpecla"g,: v'l xz <br />n-ne'l: _____________ <br />EHD 16-24 (2'«pg) 4/3/13 <br />—/z/ <br />---------— <br />---------— <br />/v> a <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />(p^H cfF <br />/__________________________•j ______________ <br />________________________ZA —_____________ <br />fZ-ILrz <br /><-a/ <br />____‘x0 4 S' <br />J 1 A-C <br />_ 1'°^ L----- <br />dl r' <br />____«( <br />_____<Z <br />L'-vc <br />ElfKtrS _______