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No <br />\ - i 0 V <br />\^o^> |----f K <? <br /><TL </\pq^ <br /> \g<^2^9~zcKj? <br />Item / Location <br />AV) <br />vcAvA-<k-Q. <br />7 <br />Food Safety Certification <br />°F <br />Other:°F <br />Phone: <br />EHD 16-24 (2napg) 4/3/13 <br />PPm <br />PPm <br />Name: <br />Exp. Date: <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 />( A?.- <br />Warewashing <br />Heat: <br />! Temperature <br />nsF^ <br />~7l- <br />AMj ~V \->? \ ko V—< ~9-? •________ <br />i— cxrvQ \ ctq - ( t <br />Temperature <br />F-MQP <br />\2^VL _ <br />\ kXY t F <br />^>2_- <br />J kt-Q <br />Facility Hot Water Temperature <br />Hand Sink: op <br />Warewashing Sink: <br />TimeOut: Page-^pf <br />FOOD PROGRAM 0IR CONTINUATION <br />IChlorine: <br />op jQuat. Amm.: <br />Item/Location <br />6X Vo <br />Received By / Title*^ <br />EH Specialist—VJ a <br />Time in: <br /> rxe^cA n ft <br />SV> <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />- - C-xvxF ftp <br />CL \ x <br />L^oerx <br /><5~^ c I <br />cllyX^ <br />______________Food Program Official Inspection Report <br />Name of Facility: f V V7 V Date: <br />Address: <S \ McVp Sft____________________ZIP <br />Owner/Operator: Telephone: <br />Program Element: Program Record: Inspection Type: <br />SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br />\^> j Nf eft <br />v\jO