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City: <br />o <br />Temperatureitem / Location <br />\OoF <br />□ <br />FName:ppm <br />Other:Quat. Amm.:F ppm <br />land Sink: <br />i/arewashing Sink: <br />Temperature <br />SsXA_ <br /><^-€1 VJ v <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 />Warewashing <br />Heat: <br />°F <br />O\ <br />4 < <br />pg,/ c <br />Sqm <br />Yes No <br />Phone: <br />ST) nopg/k <br />' JV>> <br /><^0 c? \ <br />Or^e <br />Item/Location <br />CooV-^ Coo\er <br />US <br />. gszd 1 <br />Food Safety Certification <br />_ <br />Exp. Date: <br />S gj. k? 2- u( <br />V OO 2^ I - CkjoQersV<P <br />(2- Ve o s x Q x2> o <br />e -YV-^s ocaA S M l <br />o-€ i \\c\i clcui) <br />S\ I <br />C \ K.y - <br />Received By! Title: G V-> SS <3 d <br />Time in: —| <br />EHD 16-24 (2™ pg) 4/3/13 <br />Facility Hot Water Temperature <br />~ \ OTZ> °F Chlorine: <br />2-0^- b\ 3C>2^ <br />TimeOut: ' 3> *S O Page , of <br />' FOOD PROGRAM 0IR CONTINUATION <br />p^fx-Ark <br />\ p C*xSvcA <br />priiv^ Ao . <br />AA?o ca\\ -CxY\i?l <br />s nQO< Ao <br />S V V\ V \ O A \ A <br />bo ,_____ <br />Food Program Official Inspection Report <br />c r\^\ a-<- Date: 2- 1 b-Z-M <br />vk City:WV\i^ zipCode: ^32^0 <br />- V I Telephone: <br />Inspection Type: <br />Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />\ S SiiR1 Cj<a.$A s4orJ<^-<A_) / <br />YqqIq^j) Ortez' Ao <br />A-yv^L r___________________ <br />AvX aO dxy’S p-Qz \ s €? / JS <br />Sc/AA'TX 7a^ <br />AyO <br />Name of Facility: ’ <br />Address: U-4/X7 <br />Owner/Operator: d k <br />Program Element: ko’ZH Program Record: <br />SB180 Posted Yes No Permit Posted