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No <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />I <br />t <br />7 <br />53 c F/M <br />5.-i ) <br />47 <br />O\ <br />Item/Location Item / LocationTemperature <br />Food Safety Certification <br />Name:Heat:°F <br />Warewashing Sink:Other:Exp. Date:°F °FPPm <br />Phone: <br />Time Out: <br />EHD 16-24 (2nd pg) 4/3/13 <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 />Temperature <br />Chlorine: <br />Quat. Amm.: <br />Warewashing <br />PPm <br />Page .^f <br />FOOD PROGRAM 0IR CONTINUATION <br />a i <br />\ c 0 <br />Facility Hot Water Temperature <br />Hand Sink: »p <br />\WZ / logogram Record: <br />' 3 No Permit Posted Yes <br />Received By / Title: <br />EH Specialist: t 1 . TZ 4T <br />Time in: <br />Date: <br />Zip Code: <br />Telephone: <br />•S M lnspection Type: / T£ <br />Re-Inspection on or After: ' <br />\oq-\jc\cK<? <br />,'tgj gvcj, <br />_______ Food Program Official Inspection Report <br />Name of Facility: ~nr f\O_iZ 'V=c’G>-<r~42>v_^_ AADate: 1 <br />Address: \2.7L V \City: <br />Owner/Operator: 37 I <br />Program Element:, <br />SB180 Posted Yes <br />r~<~P CO JUO G <br />(s^)Orcrs\ VfOc^JGg, <br />ks, Cz<7-a3v\ a- <br />j \ r i