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City: <br />Inspection Type: <br />No <br />I <br />C7\ <br />A^> \uQ- io8r <br />Si <br />TemperatureItem / Location <br />-Sr^ <br />Food Safety Certification <br />:hlorine:Name:°F <br />Warewashing Sink:Exp. Date:°F°F PPm <br />Received By / Title: <br />Time in: <br />7 <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.siqov.org/ehd <br />%/) Co . c rO <br />Program Record: <br />Permit Posted <br />Temperature <br />Owner/Operator: <br />Program Elem^nt^^. <br />SB180 Posted Yes ^"No <br />rage, or <br />FOOD PROGRAM 0IR CONTINUATION <br />____________________________OBSERVATIONS AND CORRECTIVE ACTIONS <br />i T) ~v C? a <br />CSTx CO C y-Q_________________________________ <br />EH Specialist: <br />-1 58^ <br />EHD 16-24 (2"° pg) 4/3/13 <br />H 's <br />^2. F <br />c p-c <br />jojypM G\koWJZ <br />^?rQ<^A) cFz_ j r—Q <br />\ oV-^-iAz - a c_0 \ -Q/w-e-V <br />_____________Food Program Official Inspection Report_______ <br />Name of Facility<^7V> 880 <^6? Date: M ~'ZS <br />Address: < City: Zip Code: 2. <br />— * a Telephone: <br />^O<a.~M/C I 1 <br />^ -Vo klTQ- iCrnG <br />Warewashing <br />ppm ||H~ <br />Other: <br />—\ Item/Location <br />~X-r\ S \ c-Oza <br />Cr-AyLcY j <br />k La M Ip / S03^ <br />Yes No ' Re-Inspection on or After: <br />Facility Hot Water Temperature <br />Hand Sink: °p <br />Quat. Amm.: