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A <br />City:Zip Code: <br />Telephone:Owner/Operator: <br />'S'SOMQ <br />SB180 Posted <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />(s \ -pV t <br />c \ - <br />Food Safety Certification <br />"FName:Ppm <br />ither:Quat. Amm.:Warewashing Sink:FExp. Date:PPm <br />Received By/Title: <br />Phone: <br />Time Out:M <br />EHD 16-24 (2nopg) 4/3/13 <br />I__ <br />Chlorine: <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 />-T-l J Q <br />? |~ <br />Warewashing <br />leat: <br />-Xo S <br />Item / Location Temperature <br />M. \ <br />"2- <br />q __________Page| of <br />FOOD PROGRAM 0IR CONTINUATION <br />°F <br />Food Program Official Inspection Report <br />Date: <br />I— <br />< cCAo <br />) C-V^^C-V-X <br />-•5 <br />AAvP- F - KA <br />Item/Location <br />_______ <br />Vr O\J \ <Aq. o O <br />■nsPectionType:^^^ <br />Re-Inspection on or After: <br />a^TO^a 1 ^.L, j? ft J <br />EH Specialist: \ 1 <br />Time in: -j - <br />rO <br />Temperature <br />'3^ < <br />F <br />(OvqF <br />I L3 F <br />II Facility Hot Water Temperature <br />Hand Sink: op <br />c \-o</ me ( s <br />G A Ar r e- A <br />~V < C\___ <br />Program Record: — <5 . . <br />Yes No r~ <br />Name of Facility: <br />Address:^ oo~ <br /><» <br />Program Element:v^2/ |be|S <br />Yes No Permit Posted