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City:Ley I <br />BS MFk t <br />Cc Y rCc I <br />a kt <br />K <br />C\ <br />//on <br />T Temperature Item / LocationItem/Location Temperature Temperaturelitem /Location <br />Food Safety Certification <br />Name:°F <br />Exp. Date:°F°F PPm <br />I <br />San Joaquin CounU^ <br />Environmental Health Department <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjqov.orq/ehd <br />______i rwc <br />_Ujar zn___ <br />Name of Facility: <br />Address: <br />kAz Qy.1 h <br />bn c k - <br />Chlorine: <br />Quat. Amm.: <br />Sin K <br />I h r. p <br />/-M , d <br />___________ol <br />Owner/Operator: <br />Program Element: <br />SB180 Posted □Yes No <br />Facility Hot Water Temperature <br />Hand Sink: <br />Warewashing Sink: <br />3 4 <br />-----he; nJ <br />| t <br />_______77- <br />R M J <br />14 J <br />-) Ke s <br />u rV> p3______i n -t-c <br />(aJ h ’■<> K <br />-S h <br />Q fl pr c' y e c/ <br />ejf, uLz tfl J h <br />----£ <br />uJJh uJor/X) IxJgJ <br />1 /Yl/'Tl e ci \! y <br />O 35 C) <br />G h- c M- <br />rrc'v' ■ ______Ul <br />nnfvie. J, n <br />__U. <br />i I c <br />.<) 4 ci ■ m// <br />ij2er- <br />____z9 <br />P v n \ . 6gs-4h <br />0 Pfit/, cZ <br />Al \L t-j ., <br />Zv cl j <br />G nJ______n <br />MB»| <br />Warewashing <br />ppm ||Heat: <br />Other: <br />•» $ <br />U v> In a <br />____L LI <br />G^h 5 fl <br />Page of <br />FOOD PROGRAM 0IR CONTINUATION <br />f ■ <br />r'^'- 7/rJ/CZ <br />Time Out: , , , , ,//. IL/ <br />RVATtONS <br />/ Ly Cl,______Cf- <br />l/) U J .~t I e r h ci r\ J <br />G-Cc r r € c 4 e z/__________________ <br />__k <br />k___ <br />, 1 <br />Food Program Official Inspection Report <br />k Date: <br />Zip Code: <br />Telephone: <br />Inspection Type: <br />Re-Inspection on or After: <br />O -A <br />Ci n t X <r y <br />y /2c Ir <br />Program Record: 7 / C’ 7 <br />Permit Posted Yes No <br />Ill fcv <br />!p <br />G r\ (J____ <br />k n K <br />r C . ) . y <br />44' <br />h n <br />UJ C' 1 a r- <br />V e fl i r-CL- <br />A---------U <br />u; i t.______c <br />____S q y 4<r rYl.____ <br />/2 <br />VJ ti I _____hfr Az/ <br />P r > G r______It/ <br />ReceivetTBy^Btie^^^T"" <br />EH Specialist: k'?/' - 7 <br />Time in: , xiC / /, <br />EHD 16-24 (2nd pg) 11/2/09 <br />g 4 zi I ■ c i eV) zrf? a/. c, I / <br />uc J P 1 f________ <br />p C' C . I . k 5 <br />C ■ k_______nV <br /><4 rx v k______q <br />C v nt p d <br />^01 VF c, <br />•gy* U <br />OT2X