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( <br />^5 <br />13 <br />TemperatureItem / LocationTemperatureItem/Location <br />Food Safety Certification <br />Name: <br />Other:Quat. Amm.:Warewashing Sink:Exp. Date:°F PPm <br />Phone:/ <br />Time Out: <br />]__ _ <br />Chlorine: <br />^7^32 <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 />Name of Facility: <br />Address: <br />Received By / Title: <br />EH Specialist: <br />Time in:, so2. <br />EHD 16-24 (2™ pg) 4/3/13 <br />°F <br />°F <br />Paga, of <br />FOOD PROGRAM 0IR CONTINUATION <br />loo CX-t>TT^P\i- ______ <br />Owner/Operator: <br />Program Element: <br />SB180 Posted Yes <br />[JO~ ________ <br />C-zy \/rt? <br />J /kJ <br />Warewashing <br />ppm |H^ <br />/-^/s <br /> sy? £ <br />y? / aj-z~-/^ /aJ 9/ »--------- <br />Facility Hot Water Temperature <br />(Hand Sink: °p <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br /> y'-. / . vV ' <br />SV PPfrl CM i C>C< i N f______ <br />97^- <br />Food Program Official Inspection Report <br />Dale: I. fyo <br />Clty: Zip Code: ;/ <br />Telephone: <br />Program Record: p I^os IS 1> % ? "15pec"on Type: <br />Permit Posted Yes No ReTnspection on or After: ' <br />(\^) — <br />■h p - io^"F .__________________ <br />yiT= -F-iS/t /M z; <br />LA o u &-Y P U~T^ -A: <br />/y£i. / j Q/Y^ <br />-A d<=& <br />eX-1- 3oo Cs)