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City: <br />Telephone: <br />Inspection Type:Program Record:Program Element: <br />Re-Inspection on or After:Permit PostedSB180 Posted <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />* <br />U v a <br />Temperature| Temperature Item / Location <br />Food Safety Certification <br />Name:°Fppm <br />ither:Quat. Amm.:Warewashing Sink:Exp. Date:°F PPm <br />EH Specialist: <br />Time in: <br />Bn <br />Chlorine: <br />Warewashing <br />(Heat: <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.sjqov.org/ehd <br />Name of Facility: <br />Address: <br />T?>m <br />°F <br />Yes No <br />Received By / <br />EHD 16-24 (2'«pg) 4/3,13 <br />Yes No <br />| Facility Hot Water Temperature <br />Hand Sink: op <br />_______ <br />VejS <br />- Phone:' .7^ - /4- <br />TimeOut: Pa9e2°t^ <br />FOOD PROGRAM 0IR CONTINUATION <br />Food Program Official Inspection Report <br />[ 5^1^/ Da,e ^-^- ^Z <br />/■/. < _________clly: _apcode: 7-) <br />U f\f,7 'f Ae-t 'Atf LA^/ , 2a/ <a.k> ’■. <br />9 ()4 ‘ <br />—CV\ Cl) - <br />I <br />——lOV<r - <br />7-^/ <br />b i-fj—<2? <br />Owner/Operator: z <br />---------- <br />1 <br />R- . <br />CAOi^^^Q! \----5^^-— <br />["P3R. C0'f\fv-c4 ' <br />ia i/v^ —-tP -P rAsi c i —T------------------------------------------------ - <br />Vf 1----------------- <br />I ;--------—T-E--------;---------------------------------------------------------------------------------- <br />/^F' s / ------------ <br />yrrc’ — f 'F(9 STC ■ <4--------7----- <br />7 <L<- ____£2k-_____________;______-____________________'&L< ■ <br />7 ( <a/ ft H~ [A.) S fel.U.7rv-i <br />p 'ft'iA 5 ^Tvyi ■/ /tLlc*- 'f.'lx/ <br />ri f'y i _______y <■ P ‘ <br />tyQifork i^1 - iz.^/ Z?^lax^ / % <br />---------------------------------------- <br />Item/Location <br />fu^/'or 2 Qc? <br />/-/& ^'Z.F.^ <br />—3 cfiffP <br />(JyloYl^- <br />y-rS^ C^tO.S f'yy'