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Zip Code:City: <br />Telephone:Owner/Operator: <br />Inspection Type:Program Record:Program Element: <br />Re-lnspectlon on or After:Permit Posted Yes NoNoSB180 Posted Yes <br />(5 <br />c€\nc-V--g <br />JVJ c o - <br />o <br />Temperature <br />Chlorine:°FName:ppm <br />Other:Quat. Amm.:Warewashing Sink:•FExp. Date:ppm <br />Received By / Title:1 <br />Phone:EH Specialist:^ <br />Time In: <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 />M I R <br />\<F7\ <br />Name of Facility: <br />Address: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />— \2ec <br />\ X* O2,C\ <br />Temperatured Item/Location <br />V~1 sdCB'S cXy' Zo 4=. cKa <br />. qV-s~y \ 2o <br />x <0 <br />Food Program Official Inspection Report <br />Date: <br />______(O'.M 1 <br />- /^c'd <br />•~~T\ <br />^SyteF <br />Ge\j\oV-g " <br />Food Safety Certification <br />___k)2-- \ft \ xC> r <br />Facility Hot Water Temperature; * <br />Hand Sink: «p <br />Warewashing 2 <br />Heat: <br />____*2,0^1 3 <br />Time Out: Page of O* <br />FOOD PROGRAM 01R CONTINUATION <br />Wj OkASQr \ Ch <br />VxS V~VaJ <br />^7,^ 9S7 - I -0^2 <br />2Lfe_ <br />1