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I ‘ > "'■ -5;'-A.',- <br />Zip Code: <br />Telephone:Owner/Operator: <br />Inspection Type: <br />Re-Inspection on or After:Permit PostedSB180 Posted <br />w_ <br />£1 <br />vvi/yw <br />'S <br />OlSapr/i-^,A <br />.9: <br />Item I Location TemperatureTemperature <br />= <br />__ <br />Name:°F <br />Warewashing Sink:Quat. Amm.:ither:°F °Fppm <br />Received By/Title: <br />EH Specialist: <br />Time in: <br />F/m*1 <br />Facility Hot Water Te <br />Hand Sink: <br />_______L <br />San Joaquin Cou> : <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 l/lfeb: www.siqov.org/ehd <br />V'' <br />I <br />Chlorine: <br />Name of Facility: <br />Address: <br />EHD 16-24 (2“ pg) 4/3/13 <br />Yes No <br />v/VT <br />Item/Location ' <br />CbwLv' .^m-L KyW <br />PyzaaXt^ <br />Warewashing <br />ppm ||Heat: <br />__ <br />°F <br />Food Program Official Inspection Report <br />~ate: <br />'‘tl/MWC <X <br />'-'J < <br />utv ■ p, <br />yrZtvHw? - <br />_______________________________________________ ■ ■■ <br />City: <br />Page^of^ <br />FOOD PROGRAM 0IR CONTINUATION <br />________-r\A vSf'J <br />Phone: Zp;/^ - <br />Timeout: <br />■" OyUYvCy- <br />W'— oV u <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />XbiAV/A <br /><’ZV’C/V/W <br />ca&to <br />(P>rv( dz? _ (tZ » <br />HcY 644/1^ <br />vyj <br />■feh.f <br />Gwi <br />Program Element: <br />Yes No <br />Cxf <br />r <br />Z1 <br />iX <br />Rryw A ' iA/-i Zwi <br />t)>> 0 ___4- <br />1------ <br />yv-1 -k.v-<<V <br />'(fa <br />\J A/ T>Vv\|V^ 0 <br />•* |Za/\ k.__TlfrMt__ <br />____*4 kfrAAQ. <br />VVwyX <br />lAc/AfiwU4 <br />J Program Record: <br />ht/y X l<-_____cly,yv,^<^ <br />ClACI»1pi IM u r. <br />zu , <br />=__cZ-Z__Z-L