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w: <br />City: <br />7^ <br />TemperatureTemperatureItem/Location <br />Food Safety Certification <br />/ 7 Page | of __ <br />Name: <br />Exp. Date: <br />Phone: <br />Time Out: <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.sjqov.org/ehd <br />----------- <br />Chlorine: <br />Quat. Amm.: <br />Warewashing <br />leat: <br />)ther: <br />PPm <br />PPm <br />No <br />Facility Hot Water Temperature <br />land Sink: »p <br />/arewashing Sink: op <br />°F <br />°F <br />Tl^ <br />Program Record: <br />Permit Posted Yes <br />Name of Facility: <br />Address:_____ <br />Owner/Operator: <br />Program Element: <br />SB180 Posted Yes No <br />Food Program Official Inspection Report <br />(9rnj& Dale: 7//V <br />SV Cl!y: M- Z.pcode: <br />— Telephone: <br />Inspection Type: <br />Re-Inspection on or After: <br />fl <br />n/U fT} <br />4- f <br />^1 <br />i/i/7 / <br />FOOD PROGRAM 0IR CONTINUATION <br />' XTX.'® <br />< <br />Received By / Title: Q <br />EH Specialist: <br />Timeln: l-’.W K I /H k.A <br />EHD 16-24 (2nopg) 4/3/13 <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />(p an A y hppccu___________ <br />llij \ouV\tr 11/i /tb _____________ <br />T Aqq/UvKL ~ m! ____,- — ------------------------------- <br />_____________________________ T- ^.o^/ i Vt <br />Vto;____________________________ <br />AW cU.V» c<^-buZ----- <br />___________________________L-<Z • [iZ?______ <br />7. <( q/:/ ,.,i<m’’________________Vt,>uV- A ______ <br />3 t.ow.n^ pP______________A^<£tx ~— <br />__- Z'*'1-------------------:--------— <br />&—^1X44------------------------------ <br />___—IZ-----W <br />---------UwJ ^vX) <br />/c - <br />I <br />~ [7^ <br />7r-/ <br />Item / Location <br />•(<tv (IP <br />_____saV Uy b< <br />i Vwfr >cu <f oVtj. ra-k <br />_____UV\ oz Vf ^vu_______ <br />kcfrA _ <br />_____ <br />____________________