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u<(r <br />Zip Code:City:' -I ___ <br />Inspection Type: <br />Permit PostedSB180 Posted <br />■ <br />A <br />(o yr, <br />Item/Location Item / LocationTemperature Temperature <br />Food Safety Certification <br />hlorine:Name:PPm <br />Exp. Date:luat. Amm.:>ther:PPm <br />Received By/Title: <br />EH Specialist:Phone: <br />Time Out:Time in: <br />tEHD 16-24 (2^ pg) 4/3'13 FOOD PROGRAM OIR CONTINUATION <br />L <br />V\A <br />:• if I <br />f— <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 />7^1 30^2. <br />Page of <br />! <br />:= <br />Warewashing <br />lHeat: <br />°F <br />°F <br />°F <br />iy\ch? ( /PC) <br />p/5 _________ <br />■ plyiPS OK- <br />ZZi-1 3 <br />|; Facility Hot Water Temperature <br />[Hand Sink: <br />[Warewashing Sink: <br />ZzyXr- 4-A i-L J______________ <br />f T~ <br />Food Program Official Inspection Report <br />Pate‘ <br />s b ‘ <br />5'/Zz/sz2-//,z>^z--r^^ <br />No ’ j Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />_______x ______-S o <br />3. q cT/Jr <br />_____ft ik i <br />______VS /P'F <br />VC <br />------5-0 zUhsvV <br />----------2 <br />--------/0// (k <br />^0 - <br />_____ <br />Cc^ <br />) ar rP tZ <br />/oftr <br />Telephone: <br />CFH /T£ <br />My c <br />/pi <br />7<[ . I ppm ■zxz g~^ <br />/ Vf? z^7 _LQ/2 <br />Name of Facility: Li- <br />Address: <br />Owner/Operator? / ■> ? y <br />______________Zc.TzZ/ ____________ <br />Program Element: •> y ^ -Program Record: / . <br />Yes^ No' Permit Posted Yes