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City:bO X5 ) <br />O <br />( <br />/L5 ^/o r <br />o-r ^-cto? <br />5X <br />TemperatureItem / LocationTemperatureItem/Location <br />Food Safety Certification <br />°FName: <br />ither:Quat. Amm.:°FExp. Date:ppm <br />Phone: <br />p €fer£P-, <br />____, <br />~ , g.A4 -o <br />/V <br />J.JL!2^ <br />~cTir <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 />7’- <br />Ci I <br />Name of Facility: <br />Address: <br />Program Record: <br />Permit Posted <br />'z-g <br />°F <br />U 7^ <br />Facility Hot Water Temperature ||______ <br />Hand Sink: °F Chlorine: <br />Warewashing Sink: <br />PKT. 5^0 ‘59-1 <br />Yes No <br />jy A <br />//5 <br />Owner/Operator: <br />Program Element: 9^5 <br />SB180 Posted Yes No <br />/ O O <br />/s> <br /><*•) <br />/______ <br />^/Z<7 / <br />Warewashing <br />ppm |HoaT <br />2^-56 7 ________ <br />TimeOut: £7 PPY] Page | of <br />FOOD PROGRAM 0IR CONTINUATION <br />s £-T' u r* <br />V? /( <br />__P <br />OBSERVATIONS ANDCORRECTIVE ACTIONS <br />i7~ i< y P /(kJ ~~ <br />/.? <br />5*^ Cft LrT'^ AJ /VybS <br />Food Program Official Inspection Report <br />NictjT MAKKer______ _________________ Date:g/^^/ <br />M City: Zipcode: <br />Telephone: <br />Inspection Type: p <br />Re-Inspection on or After: <br />A/ - <br />___ <br />y/^v~ r v[ py —o <br />o i<7^r <br />/°/2-€ Ai-p <br />r <br />l- j m P At w y ijj <br />q o V / (>-j Q /Cp____y 7z * /S <br />Z ro k/'tZe /OOP' -poir'-— <br />c 7bu A o A. <br />E <P <95fj "7 '______ <br />7 /3 4)/VI .6 E. <br />Time In: y f/V]_______________ <br />EHD 16-24 (2^ pg) 4/3/13 <br />y/ <br />_Csu<% 5 Y Z_ _ <br />—J UP P5P