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City: <br />Telephone: <br />Program Element: <br />SB180 Posted <br />(io PVT? <br />Q<?c-' d -TFi <br />Pp^> — pcvzJc <br />Qpc-H^6*. ck <br />TemperatureItem / LocationItem/Location <br />Food Safety Certification 4 <br />Chlorine:TName:ppm <br />Other:Quat. Amm.:Warewashing Sink:°FExp. Date:6F ppm <br />Received By/Title: <br />Phone: <br />•f <br />FOOD PROGRAM 01R CONTINUATIONEHD 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 />-fiSVA <br />Facility Hot Water Temperature <br />Hand Sink: «p <br />Warewashing <br />Heat: <br />Temperature <br />_____2-0^- Io 1 b - <br />Time Out: Page. <br />Vo ^2-3 '"»Pect'°nType:^Ou^&/-i-^. <br />Re-Inspection on or After: <br />V- <br />.—x ________ J OBSERVATIONS AND CORRECTIVE ACTIONS <br />( 3 J 'SAexj-e - VA-qz-a — - <br />cU <br />> k *) 'i \ V o <br />EH Specialist:\ j ‘ "-—I ~ \ « <br />rime in: <br />Program Record: Ckj i.-!~7 q / <br />Yes No ' <br />Ckz:Q. <br /><7 <br />Name of Facility: y y <br />Address: y <br />Owner/Operator: <br />lip^S <br />Yes No Permit Posted <br />Food Program Official Inspection Report <br />Date: tn-Q-Z-S <br />Zip Code:ex \O<