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c <br />Zip Code:City: <br />Telephone: <br />Inspection Type: <br />No ' <br />-OVLLaT <br />-o^ <br />(gg)Jo V I'C&O- COV- <br />Klo.'o ) <br />l-n - O« <br />( <br />- ot <br />VW>(^AJU2 <br />TemperatureItem / LocationTemperature <br />Food Safety Certification <br />Name:ppm <br />Other:Quat. Amm.:'arewashing Sink:Exp. Date:°Fppm <br />Phone: <br />Time Out:Time in: <br />Warewashing <br />Heat: <br />San Joaquin Cou. <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 />I__ <br />Chlorine: <br />V‘ \ Vj <br />(V\ c <br />Name of Facility: r <br />Address: <br />°F <br />°F <br />Received By /Title: f <br />EH sPecialist: <br />EHD 16-24 (2nd pg) 4/3/13 <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />\777e Vc <br />Pa9eMof b <br />FOOD PROGRAM 0IR CONTINUATION <br />Owner/Operator: <br />Program Element^ 2, | 5 Program Record: , <br />SB180 Posted Yes N6 Permit Posted Yes <br />Food Program Official Inspection Report______ <br />Date: (0-13-7? <br /> CpiM <br />Facility Hot Water Temperature <br />land Sink: op <br />5 <br />J (sy Q-rOr \J ca. I \ <br />SQ'cM2b________ <br />Re-Inspection on or After: