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w: n <br />-7 • 2^ <br />proems c>~C\O <br />r<-Q d <br />o <br />n <br />•y-\ \\ <br />Cpcxxpve^e <br />Temperature TemperatureItem / LocationItem/Location <br />Food Safety Certification <br />Name:ppm <br />Other:Quat. Amm.:Warewashing Sink:Exp. Date:F PPm <br />Phone: <br />n ■ zm <br />7 <br />J|__ <br />Chlorine: <br />Program Record: <br />Permit Posted <br />J Telephone: <br />Inspection Type: <br />Re-Inspection on or After: <br />VA s Qcc <br />San Joaquin County rAOOIciM?)C) <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 />°F <br />Warewashing <br />Heat: <br />22M <br />Yes No <br />rage -^oi. <br />FOOD PROGRAM 0IR CONTINUAT^^ <br />°F <br />Food Program Official Inspection Report_______ <br />Date: ZKq- ^2 <br />City: Zip Code: <br />Received By/Title: <br />Time ie: ^2. ■ SO Q_______________________ <br />EHD 16-24 (2"°pg) 4/3/13 ' <br />\ kC <br />ASA^ <br />Facility Hot Water Temperature <br />Hand Sink: op <br />>rxP v a2> Ok • <br />s I— <br />y-- (xW5 <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />C <br />_____ ^q\Ip- <br />Time Out: Page tof <br />Name of Facility: KA-) \ fTC k A O V A'j <br />Address: 07^^ < A,^ W <br />Owner/Operator: <br />Program Element: \ V> <br />SB180 Posted Yes No <br />£ prOJ A* oorx-