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Date: <br />City:Zip Code: <br />Inspection Type: <br />SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br />/ <br />3 <br />I TemperatureTemperature <br />Food Safety Certification <br />Name:°FPPm <br />Exp. Date:Quat Amm.:Other:°F °FPPm <br />Received By / Title: <br />EH Specialist:Phone: <br />Time in:Time Out: <br />EHD 16-24 (2napg) 4/3/13 <br />BPS <br />3 <br />San Joaquin Couni y <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.orq/ehd <br />A /TH___________ <br />Warewashing <br />Heat: <br />Item / Location <br />Facility Hot Water Temperature <br />Hand Sink: op <br />jWarewashing Sink: <br />Chlorine: <br />Name of Facility: n <br />Address: ‘ <br />Item/Location <br />2 <br />Page, of <br />/7 '-t <br />FOOD PROGRAM 0IR CONTINUATION <br />Food Program Official Inspection Report______ <br />— - - -D-: <br />//4>^Clty: <A zlpCode: ^6'36/ <br />Owner/Operator:-^^ / T<Sleph°ne; <br />Program Element: J Program Record: <br />■rl^VK <br />—4-----7 AM - <br />/____y yc pl/Ltji f^tA <br />Ado sZ| L' <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />IrFF (.07'4 1= & - — <br />\^o l-uz-.-’t'ruc l</ . <br />^Ju2 <br />/zC -------- <br />7^. jZZ <br />fz . —I ry ft h <br />J <2 L+'-C 4f ■ Z> ^-7-f 7 <br />S i"U <br />A <br />--------tP-O& iZ-> r—- <br />—-g; <br />■------------- <br />5 izw C' (“Oo <br />■ ole