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C-l-'d)ppm <br />pprYl~ <br />Item/Location <br />Food Safety Certification <br />F <br />F <br />J <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.orq/ehd <br />Name: <br />Exp. Date: <br />Program Record: <br />Permit Posted <br />PageNet {j <br />FOOD PROGRAM OIR CONTINUATION <br />°F <br />Warewashing <br />ppm |Heat: <br />ppm other: <br />P Facility Hot Water Temperature ____ <br />Hand Sink: op Chlorine: <br />Warewashing Sink: op jQuat. Amm.: <br />Phone: <br />Time Out: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />\^/U24W£J <br />(7) kHcWu7? <br />-- <br />io\ s friM’ _ <br />I' <br />(>HC)O <br />____________ <br />GtrimrMb xiUlx zz <br />ZriZK rxz^-__ <br />J Temperature || P Item / Location ]JTemperature <br />Received By/Title: K <br />EH Specialist: I Q <br />EHD 16-24 (2^ pg) 4/3/13 <br />Food Program Official Inspection Report <br />NameofFacrnty/yy^^l^l^] W/ItT Vt-lZ Iff <br />M^s- &■ NDSfMltZ X'Z Cl,y 1'n.^t/u/C V zA zipc°de: qZ <br />Owner/Operator: \QA qZ ^HHiCZ,, ,- r, Te'ephOne: | <4 <br />Program Element: H/X CZ Program Record: pQ Z|~ 0Inspection Type: (p <br />SB180 Posted Yes No' Permit Posted Yes INo Re-Inspection on or After: