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- <br />A <br />f <br />C. <br />W4 <br />L <br />'£■'3^C <br />s <br />Temperature■ jgwSsaiiSSKg <br />Food Safety Certification <br />Chlorine:Name:°Fppm <br />Other:Quat. Amm.:Warewashing Sink:Exp. Date:°F°F ppm <br />Phone: <br />Time in: <br />EHD 16-24 (2nd pg) 4/3/13 <br />Received By/Title: <br />EH Specialist: z? <br />Warewashing <br />Heat: <br />^<7/ <br /><. ' r <br />Temperature <br />San Joaquin CounW <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 />—<9 /-<------ <br />2 <br />IS 5 I r ■ <br />Item/Location <br />Facility Hot Water Temperature <br />Hand Sink: op <br />$ r~^ I't f' _ ______ <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />! 7^) ■< 6/v ^7 L C''" S lAl.r'i <br />-ysii <br />__nM< <br />A/,o -----1, <br />Food Program Official Inspection Report______ <br />/(7/?.zZz?z.^ Date~/// 2.6?/ <br />Record: p ko <br />J l\ <br />Yes <br />Time Out: f Page of <br />FOOD PROGRAM 0IR CONTINUATION <br />tp [<? <br />(7^/ z 4 r< <br />----------------------P $ fiujiu - <br />ppry^ <br />i >7 I ut ___________ <br />- Zz- <br />Item/Location <br />Name of Facility: <br />Address: f//Z <br />Owner/Operator: 7^7zq <br />Program Element: ; ■ Prograol <br />SB180 Posted Yes No ■ ‘ Permit Posted <br />/-//Z W ____________ <br />_____P 1st 'F~ dY) ! C_________________(M <br />__________QP t<- <br />- / ‘Z.j- CL <br />Date: <br />Zip Code: <br />CA_____Telephone: <br />^.^rpectionType: -tp <br />No / Re-Inspection on or After: /