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Os.SO <br />City:<7 <br />Program Record: <br />Yes NoPermit Posted <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />V’ <br />\ \ <br />V <br />ro1 <br />\ <br />Safety Certification <br />hlorine:Name:ppm <br />ither:mat Amm.:arewashing Sink:Exp. Date:F ppm <br />Received By / Title:- <br />Phone:EH Specialist: <br />Time in: <br />EHD 16-24 (2« pg) 4/3/13 <br />2-5 <br />5 <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.siqov.org/ehd <br />°F <br />Name of Facility: \ \ <br />Address: A <br />Page of U <br />FOOD PROGRAM 0IR CONTINUATION <br />Hl <br />Temperature <br />I <br />°F <br />Owner/Operator: <br />Program Element: \\OC( <br />SB180 Posted Yes No <br />2<yv- IpIb-SoZLr <br />Timeout: <br />Inspection Type:—t <br />Re-Inspection on or After: <br />"T A <br />52, S^S ck fio c <br />S^SLgV''* <br />Temperature <br />\ r <br />A \ <br />Facility Hot Water Temperature <br />land Sink: op <br />5_) C. W \\ / <br />A’m ’ <br />Item/Location <br />\ <X ?x>p?/v <br />\a/-aXL QSD <br />Food Program Official Inspection Report <br />Oate: 2^S <br />Zip Code: <br />Telephone: <br />pr e - <br />V A ‘ <br />Vv^-vX£-g_ ~ r Ao XTr-P <br />\5qf -v?