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2. • J ^jzr- Cj^" 14^ uz<i5t\_^ <br />a ! oa ppt^ <br />\-+ <br />Temperature ,Item I LocationItem/Location <br />Food Safety Certification <br />Phone: <br />Page^of 2_, <br />FOOD PROGRAM OIR CONTINUATION <br />Name: <br />Exp. Date: <br />PPm <br />PPm <br />°F <br />°F <br />Warewashing <br />Heat: <br />Other: <br />T <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.sigov.org/ehd <br />Name of Facility: <br />Address: <br />Owner/Operator: <br />Program Element: <br />SB180 Posted Yes No <br />Chlorine: <br />Quat. Amm.: <br />CXva.<A oJOS <br />, Temperature <br />o rucL^cbe. rd x <br />/<J2. 5coop Ao <br />k__Cd_r 2S pp^ c too cd_L <br />4e/vtp <br />Facility Hot Water Temperature <br />Hand Sink: op <br />Warewashing Sink: op <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />/cocf. <br />^<=j C/C “Soyo <br />Time Out: i /2- QQ <br />_____Food Program Official Inspection Report_______ <br />l«J a ■!-«->-asf .| ox ~ Date: £,-G-Z--€> <br />(^^°\ E. A^.._______Clly: ZipCode: ^5?>Co <br />£^thr_____________________Ti"eph°ne: ,_______ <br />l(^<f PF^TRecord: Inspection Type: <br />Permit Posted Yes No Re-Inspection on or After: <br />- <br />ly. L-J . ‘XDi’vp 4- S <br />7 C-O - icc^ppA^ o/ . <br />\ ( H <br />Received By / Title: / I q'2 - A, <br />EH-Specialist: _____ <br />Time in: , <br />____________I O .OO________________________ <br />EHD 16-24 (2"° pg) 4/3/13 <br />___I I (A <br />14"Loe 0^ “ Ck<xr jfe \ - <br />_______3 _Co^y2__5-01 <br />cC4-<S k <br />no ?s-^^p