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City: <br />- <br />7 , <br />Hl l^r <br />1'7. <br />4f <br />10-£>. <br />Temperature <br />^(t . <br />Zd. <br />Food Safety Certification <br />Name:ppm <br />ither:Quat. Amm.:CFExp. Date:F ppm <br />ill <br />/ br^ <? *'1/'^ <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 />--------- <br />Received By / Title: <br />EH Specialist: t <br />Time in: <br />Warewashing <br />leat: <br />Page| of I <br />FOOD PROGRAM 0IR CONTINUATION <br />TeJTripui iffure <br />- <br />I___ <br />Chlorine: <br />EHD 16-24 (2« pg) 4/3/13 <br />------ <br />°F <br />Phone: j y <br />Time Out: <br />—ffowZ-feglftTon' <br /><7rv i f Q J/' <br />T/ <br />I i/1u''211' <br />Item/Location <br />Facility Hot Water Temperature <br />land Sink: -p <br />/arewashing Sink: <br />------ <br />\£^__ 1-'^ <br />_ bv» k/) - I m <br />\ A a ; <br />■ck \a <br />Program Record: <br />No Permit Posted Yes No P“ <br />IZ3Z <br />Food Program Official Inspection Report <br />AhM- , Date: smith <br />j ___________________City: Zip Code: <br />Telephone: <br />Inspection Type: <br />Re-Inspection on or After: <br />(AvxlIk, <br />II? ______ <br />KaJ (fiA <br />—------------ <br />4:^4 /r^ /i pZ _____ <br />> * ------------- <br />cTtir.c^ <br />\ <br />Name of Facility: <br />Address: <br />Owner/Operator: <br />Program Element: <br />SB180 Posted Yes <br />---- <br />------------ <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />_/A? <br />1 fl z^r^, z______ <br />fag <br />H-*ay WX---------- <br />'fas Sfrs, <br />' ^Ldf.C____________ <br />''T/^ gL/iy__________ZZ. <br />4 -■-Zy <br />| zS' C-. <br />^Ca^(rr.k,^ W <br />/t**/ £ S^- A——*' <br />l>