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w: <br />Zip Code:City: <br />Xy>J&ISt Telephone: <br />Inspection Type:Program Record:Program Element: <br />Re-Inspection on or After:Permit PostedSB180 Posted Yes No <br />1-£9 <br />Temperature TemperatureItem / LocationItem/Location <br />Food Safety Certification <br />°FName:PPm <br />Other:Quat. Amm.:Warewashing Sink:°FExp. Date:PPm <br />Phone:EH Specialist: <br />Time Out:Time in: <br />EHD 16-24 (2^ pg) 4/3/13 <br />Warewashing <br />Heat:’£__ <br />Chlorine: <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 />Received By / Title.^^ <br />°F <br />==__=====JL=_=== <br />Facility Hot Water Temperature <br />Hand Sink: op <br />Yes No <br />2^ <7 — / — 3^ A 2^______ <br />// _______________page/s- <br />FOOD PROGRAM 0IR CONTINUATION <br />c 1^6---' <br />5^4 Zt V <br />Food Program Official Inspection Report <br />7dc<. ’i 9 ' <br />Fi?) , ___________ _______ ___ <br />Owner/Operator: <br />OBSERVATIONS AND CORRECTIVE ACTIONS____________________________ <br />t'{J f__________________________________________ __________________ ________ <br /> /^c • <br />______fUc? /zfrS pt <br />° H<. j, m JI ~/~r? —whs___________ <br />Ifi) AHist'K ('ku/VneJr -- <br />------------------O—^--------------(TVX