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City: <br />1 '- i <br />o i<' <br />r <br />Food Safety Certification <br />Chlorine:Name:°Fppm <br />Other:Quat. Amm.:Warewashing Sink:°F°F ppm <br />Phone: <br />Time Out: <br />FOOD PROGRAM OIR CONTINUATION <br />Warewashing <br />Heat: <br />No <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 />Temperature <br />Facility Hot Water Temperature <br />Hand Sink: op <br />Name of Facility: <br />Address: <br />S!’ <br />02) f ■pi.ji’ji <br />---A <br />j ' - > ■ ■ ' ................ <br />Item / Location <br />T O \ (2'Ll <br />Owner/Operator: <br />Program Element: <br />SB180 Posted Yes <br />Exp. Date: <br />Received By / Title: > — |z L <br />EHSpMl.liSl! <br />Time in: O J <br />EHD 16-24 (2nd pg) 4/3/13 <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />---------H y <br />------------ <br />S ■ fl udw fa t <br />--------------s—V "t Mg <br />1/ - <br />I - f —- w>- — — — <br />'3 b c.- x //1 0- <br />Item/Location <br />/I <---------------------------------------------f .--------- <br />*~rhC/ f (-&&&/_—— <br />-------—--------Cgrt \c4 s >i—r? f-r^L -n—| o is -F c<) t— — <br />// *' rc <br />Food Program Official Inspection Report______ <br />1— ______Date: /^/57/^lz <br />[ Zip Code: 7 ' ’ <br />I MxA . rg^ jQ._____________ <br />Telephone: <br />Inspection Type: <br />Re-Inspection on or After: <br />z ---------------- <br />p7 p, ___________ ___________ _______ <br />y,ri, . - - > /.y^Zz^Zr.- >—f --------------- <br />fill 1 Pw-A cM K<)"f [x&tA u«-r A . 4W /t-/ / — <br />' 1 ‘ ■ j t—rZ-l/,/V’A(/4 <br />Temperature <br />^7ziaz4^-^-. <br />vy pzg-d^vc <br />y Program Record: <br />No Permit Posted Yes