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<n: <br />Owner/Operator: <br />Program Element: <br />Permit PostedSB180 Posted <br />2 uCc <br />V <br />C <br />So <br />I 1V <0 <br />| TemperatureItem / LocationTemperatureItem/Location <br />Food Safety Certification <br />Name:PPm <br />Other:Quat. Amm.:'arewashing Sink:Exp. Date:°F PPm <br />Phone: <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.sjqov.org/ehd <br />___ X—V 4 - ' — <br />(ib <br />c< <br />Name of Facility: |\/\f <br />Address: <7 <r i <br />Warewashing <br />Heat: <br />Received By/Title: <br />EH SpeciaMett-X) <br />Time in: ~ j <- <br />EHD 16-24 (2nd pg) 4/3/13 <br />Inspection Type: t < <br />Re-Inspection on or After: <br />°F <br />°F <br />Facility Hot Water Temperature______ <br />Hand Sink:- oF Chlorine: <br />Kj/' <br />A*. \\ <br />Yes No <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />-Q,\\ V' <br />2-Oc\ - kp \ k?_____ <br />TimeOut: Page, of <br />FOOD PROGRAM 0IR CONTINUATION <br />Food Program Official Inspection Report_____ <br />gJ/A VAGvazu? CFM Date: k> \S ZS <br />2 S-V Cily: A Uxv < Zip Code: S S=\ I <br />_________________________ Telephone: <br />Program Record: SM2O 7 2, <br />Yes No