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o. <br />Clty: PAfW'Zip Code <br />Owner/Operator: <br />Program Record:Program Element: <br />Re-Inspection on or AfterSB180 Posted <br />____ <br />0i< <br />\0 <br />• o\^ <br />5t <br />■^77 <br />1 <br />^■g-/ U\\jg <br />TemperatureItem / LocationItem/Location <br />\ >c <br />3% p*2, <br />°Fppm <br />Other:Quat. Amm.:Warewashing Sink:Exp. Date:°F°F PPm <br />Received By / Title: <br />Phone:EH Specialist: <br />Time Out:Time in: <br />EHD 16-24 (2nd pg) 4/3/13 <br />t <3 <br />3 <br />-03^0 <br />\7'AS <br />San Joaquin Coun. <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 />Name of Facility: <br />Address: <br />\ r <br />C <br />Telephone: \<q <g <br />Inspection Type <br />G>__ <br />Y7- Ty j *■ <br />1 s <br />12R <br />< c_ -¥ <br />ATT <br />x S <br />Warewashing <br />Heat: <br />\S-=7-p <br />( Facility Hot Water Temperature <br />Hand Sink: op <br />A/CTX1 <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />C kA V v____4 <br />? ~T VA \ <AaYt \ <br />(jP Glcyvr <br />O \______tL____________________ <br />Page, of <br />pm —I—2J <br />* FOOD PROGRAM 0IR CONTINUATION <br />Vak <br />Name: <br />_____Food Program Official Inspection Report <br />M-Ha AU "y-ATj Date: -7 - M A S <br />Program Record: SHQ2S2 <br /> Yes Hermit Posted Yes I <br />] Temperature <br />s__ <br />- .^ ) U- <br />If <br />Chlorine: <br />kUoO /YTT'-fv-'-x