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6OD // <br />ZK <br />Z6 <br />7c>o-( <br />Temperature TemperatureItem / LocationItem/Location <br />Food Safety Certification <br />it) >^VV)M <br />|________ <br />Chlorine: <br />Quat. Amm.: <br />PPm <br />PPm <br />°F <br />°F <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 />Other: <br />Name of Facility: <br />Address: <br />Owner/Operator: <br />Program Element: <br />SB180 Posted <br />- - <br />[A /•"?' <br />Name: <br />Exp. Date: <br />Received By / Titl£^^>~^"^ <br />EH Specialist: <br />Time in: <br />m z <br />Phone: Q 6 /— //X1 -3 <br />Time Out: Page^of „ <br />FOOD PROGRAM 0IR CONTINUATION <br />^ofwieTi <br />Facility Hot WaterTemperature <br />Hand Sink: op <br />Warewashing Sink: op <br /><7; <br />EHD 16-24 (2'«pg) 4/3/13 <br />u r 7program Record: <br />Jo / Permit Posted YesYes No <br />A,/; (M <br />A C XC g_c> ---- <br />i'j r' <br />. // ie------ <br />C> (7 ___________ <br />/Vr7/ '' z? z? A? a/ ' <br />4 c AZZ - <br />'j/S & iL <br />/<6^477^ <br />{7^^(7/7 zz- c<< ^t°Li It— <br />'W <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />—- /z>z <br />A < / u) fy 7 <br />- - f 1 <br />//c COPjS Q J U Ayf r-c J <br />S'a o tf-r 7 t;K Pio <br />C' / / ° i/^1 4 J <br />P-P <br />Food Program Official Inspection Report _____ <br />j MMKrr Date: /f//y/j25 <br />^a/77^Ac 77ex?cy z|PCode: 'z / <br />/ Telephone: <br />/P4Z>5 > F6 Infection Type: <br />es No / Re-Inspection on or After: