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Ot <br />A-o. \ 00-108/'AVO S 1 <br />a olefin4> C <br />Gk <br />TemperatureItem / LocationtTemperature <br />2SF <br />Chlorine: <br />ther:Quat. Amm.:Warewashing Sink:°FExp. Date:eF PPm <br />Phone: <br />EHD 16-24 (2* pg) 4/3/13 <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 />TV <br />Name: <br />^)e C\ /C~X <br />°F <br />Facility Hot Water Temperature <br />Hand Sink: <br />_____________ <br />4^ <br />Warewashing <br />ppm |Heat:^ <br />Owner/Operator: <br />Program Element^ <br />SB180 Posted Y^s <br /><KJ l \ \ k cvrx F <br />-s i o- <br />Name of Facility: <br />Address:, <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />Food'Safety Certification <br />Food Program Official Inspection Report_______ <br />- gJZ Dale: 'o-ft -ZV <br />H *a' Zip Code: <br />Telephone: <br />\ to-B^/ \ tog <r°9ram ReC°rII: -S H ^~1~1 / S H <0^-2^, Inspection Type: [2^0-^^./ 7^- <br />Nd Permit Posted Yes No ’ Re-Inspection on or After: <br />’ u ■? 4 Item/Locatlon <br />(\ To <br />( ^cA-o^A--<:<~-QgTLa <br />Received By / Title: ^3 <br />Time in:Time Out: Pagg^f <br />FOOD PROGRAM OIR CONTINUATION <br />?<S\ \Ae<X^^ 01 <br />2^ 1