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c <br />SB180 Posted Permit Posted <br />I T <br />CC' Z <OF H <br />vV <br />OFM <br />1 <br />_Temperature Item / Location <br />Hand Sink:°F PPm <br />Exp. Date:Warewashing Sink:Quat. Amm.:Other:°F °FPPm <br />Received By / Title: <br />EH Specialist:Phone: <br />Time in:Time Out: <br />EHD 16-24 (2nd 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 />SI k •__ <br />Kvt St K <br />—C F M <br />/3 t~ <br />_____ <br />Name of Facility: <br />Address: <br />Z>1^ <br />Food Safety Certification <br />Name: <br />C- k <br />--------------/oF <br />/Ip Tkc j i <br />-_______________________- <br />/ <br />4__s <br />y < <br />-----Z^- <br />^■■2'1 t Ay-'1 ■' 'p <br />JJp pzv/l A i/'-t'd ~ <br />--^ ^4 * . <br />----------- <br />Item/Location <br />Food Program Official Inspection Report <br />pate: ^/zc/zZ <br />< z4ZipC°d0: <br />///^ PT W <br />FOOD PROGRAM 0IR CONTINUATION <br />FZZZ/ Z ' ' Cl,y:/Z..z^_ lz^pc<>d.; <br />. ^^rog^Reoora: <br />Yes Na Permit Posted Yes No ' 4 7 / 'Re-Inspection on or After: I <br />- <br />__________XH <br />AZ l ACt//) <br />— <br />___________ <br />Chlorine: <br />| CjC _ <br />— i! ' <br />jctU <br />i —■— <br />Rfl