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Owner/Operator: <br />Program Element: <br />SB180 Posted <br />C>J <br />y io .o <br />Temperature Item / Location Temperatureit, <br />Food Safety Certification <br />ppm <br />Exp. Date:Warewashing Sink:Other:!uat. Amm.:°F °FPPm <br />EH Specialist:Phone: <br />Time in: <br />EHD 16-24 (2nd pg) 4/3/13 <br />San Joaquin Couni r <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 />(5^ <br />/ ppv^) > <br />Name of Facility: <br />Address: J <br />Warewashing <br />Heat: <br />__ <br />Name: <br />--------------4------------ <br />__ <br />°F <br />5 i Z <br />4^ <br />|Received By/Title: p, u j <br />P 'J-fl 'bn S tUXS* <br />Page^ of^. <br />FOOD PROGRAM 0IR CONTINUATION <br />Food Program Official Inspection Report <br />Date: /f? 7/4~7z^2- <br />^5-3^ <br />2^^- 6i(>-3ov 2. <br />'Gl'L' f ' <br />£— Program Record: <br />Yes N6 Permit Posted <br />< j __________________________________________ <br />^5 / '7 F ( <br />----—po 'Z F~ • <br />l/^T'p —73- _____* ^±25 s <br />1^)___________________r. C-^Y4\------ <br />--------/yy /^z/F <br />5 / Ux. <br />' ( f)e> <br />_ Zip Code: <br />Telephone: <br />inspection Type: <br />Re-Inspection on or After: / <br />City: <br />2- <br />Yes No