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SB180 Posted <br />( <br />\2o\\ <br />G2. <br />Item / LocationItem/Location <br />\ S \o2-A--5(^-4c <br /><? <br />Food Safety Certification <br />ppm <br />Other:Quat. Amm.:Warewashing Sink:°FPPm <br />Phone: <br />Time Out: <br />EHD 16-24 (2!«pg) 4/3/13 <br />Chlorine: <br />°F <br />- vZ-y-SO________T___________ <br />A~o ^50 y1 \rv\x^rY~x <br />4 c VxoPr>p M Vs xj) <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 />o <br />Name: <br />Exp. Date: <br />C \ <br />505 2^ l StSQMO <br />Yes No <br />Warewashing <br />Heat: <br />Page^of q <br />FOOD PROGRAM OIR CONTINUATION <br />TemperatureI Temperature <br />^7 <br />M~1 F <br />°F <br />kaSbV-- <br />(jy?c <br />\ <br />(C 'S> <br />Received By / Title: <br />EH Specialist: <br />Time in: <br />Facility Hot Water Temperature <br />Hand Sink: °f <br />^\~F y <br />Food Program Official Inspection Report________ <br />AAq< \ceV______________________________Dale: ko- ZO--2<o <br />Avy________________City:~fc\c. _________Zip Code: S <br />y Telephone: <br />~ Inspection Type:^ ; ~ <br />Re-Inspection on or After: <br />~~ V-Q 1 <br />pre- < V- v <br />City:T«xG <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />SAoT? \ CA_f____ <br />Ga -Ao M S V3 <br />-3^ <br />Name of Facility:-?— <br />Addtess^QQ <br />Owner/Operator: <br />Program Element:^ o . ^Program Record: <br />Yes No Permit Posted <br />r—> XA