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Inspection Type: <br />Re-Inspection on or After:No <br />ec-c-A-0 6>v <br />j viroi-- <br /><Ad°-<A€-A (C-CfE> y <br />(V\ <br />Ite’m/Location Item / Location <br />■\q nx. <br />x-e <br />poc <br />4 <br />•FName:ppm <br />Other:Quat. Amm.:Warewashing Sink:°FExp. Date:°F ppm <br />Phone: <br />EHD 16-24 (2* pg) 4/3/13 <br />xT2 <br />^7—N <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.orq/ehd <br />2^0^- 'ot <br />Time Out: <br />Warewashing <br />(Heat: <br />Received By / Title: <br />Time in: <br />o <br />Chlorine: <br />Page tpf <br />FOOD PROGRAM 01R CONTINUATION <br />Temperature <br />im r <br />I$IP <br />\2oF <br />rHyvi, C c? -Vt>4a- <br />Sg V O <br />\ \ i Trx r- I <br />Food Safety Certification ‘ <br />___Mil- <br />Facility Hot Water Temperature <br />Hand Sink: op <br />t CTO - I £>& r <br />^^^^ProgramRecord^ <br />’es No Permit Posted Yes <br />"observations and corrective actions <br />I <br />_____________Food Program Official Inspection Report_______ <br />Name of Facility: (\AA<x 44<XX^-C C'FAA Date: <br />Address: Clty: -iVxAzUZ.Zip Code: <br />Owner/Operator: Telephone: <br />Program Element: i <br />SB180 Posted Yes <br />Ten- i oe>t^