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Owner/Operator: <br />Permit PostedSB180 Posted <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />2 <br />A \X2. <br />o S2 r \^L <br />o <br />Item / Location <br />V <br />Heat:Name: <br />Quat. Amm.:arewashing Sink:Exp. Date:°FFPPm <br />Received By/Title: <br />Phone: <br />FOOD PROGRAM OIR CONTINUATION <br />San Joaquin Count <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 />rfx A GV <br />Safety Certification <br />____________ <br />"Z- \cL <br />°F <br />^8 <br />| Temperature <br />M i p: <br />M I /- <br />^9 <br />IQ0! F <br />r- <br />EH Specialist:,—\~~^L <br />EHD 16-24 (2™’pg) 4/3/13 <br />___ 2 OA~~ (q \ 3^02^ <br />TimeOut: ^2Oc? Page of <br />Temperature <br />4i r <br />m\ r <br />Facility Hot Water Temperature II_______ <br />land Sink: °F Chlorine: <br />Inspection Typer-p^^^^ <br />Re-Inspection on or After: <br />Lc <br />v <A M. L <br />- p\ cV"-g_p-^ \ SC) <br />: AjPuU MOT" <br />Vtem/Location <br />_____________Food Program Official Inspection Report______ <br />Name of Facility: p \c C Q / A-A O\ ~7 g1 Date: lQ l3 2M <br />AOOress: ^QV C'» \ V Cv9 ^9533^ <br />DeU- QsSoVfvX Telephone: <br />Program Element: ( X>>C\ Program Record: k_| <br />Yes No Permit Posted Yes No <br />PPm <br />Other: