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Zip Code:City: <br />Telephone: <br />hInspection Type:Program Record:Program Element: <br />Re-Inspection on or After:Permit PostedNoSB180 Posted Yes <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />Temperature Item / Location TemperatureItem/Location <br />Food Safety Certification <br />Name:°Fppm <br />Exp. Date:Warewashing Sink:Quat. Amm.:ither:PPm <br />Phone: <br />Time Out:s <br />EHD 16-24 (2'«pg) 4/3/13 <br />EH Specialist: <br />Time in: <br />Yes No <br />saa. <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 />3- <br />----------- <br />Warewashing <br />Heat: <br />X/X - ^2— <br />//AM___________Page70,s- <br />FOOD PROGRAM 0IR CONTINUATION <br />°F°F <br />iReceived BV7 <br />Chlorine: <br />(izP ^os 7—-—t — <br />Facility Hot Water Temperature <br />Hand Sink: op <br />1 -—I <br />_____________Food Program Official Inspection Report_______ <br />Name of Facility: ^>ggy1 . 5?P <br />city: 2.:::: <br />Owner/Operator: <br />20^AS /O^t^ IO? <br />---------l g o ~r t p f .■> is <br />---------t U- - ? t LYA <br />—(mmw—s'. 6 u n r <br />rr-f} /%g- ^7) <?TrvJf\eb I C^p