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€> <br />Date: <br />Program Record:Inspection Type: <br />Re-Inspection on or After: <br />1 CoocA <br />\SY~| <br />rTXsj?.M lTO Q - <br />-5 <br /> s. <br /> <br />\55F <br />Item/Location <br />0o <br />p <br />Name:FPPm <br />Other: <br /> <br />Exp. Date:tfarewashing Sink:Quat. Amm.:°F FPPm <br />I <br />Time in:Time Out: <br />j? <br />17Q F - < <br /> <br />xQ-0 <br />LIL <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 />Warewashing <br />Heat: <br />Program Element: y <br />SB180 Posted Yes Permit Posted <br />Received By / Title: < <br />EH Specialist: \ > <br />\ I • so <br />EHD 16-24 (2"11 pg) 4/3/13 <br />S i s <br /> Yes I <br />Owner/Operator: <br />F__ <br />Chlorine: <br />TemperatureItem / LocationTemperature <br />I JZ <br />1 <br />Facility Hot Water Temperature <br />and Sink: F <br />Pageof <br />FOOD PROGRAM 0IR CONTINUATION <br />k? o <br />C_ \ 's y <br />-f4 <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />o A ISVQ _______ <br />__________ JO_ <br />C.\\c\jsA~4 c go c. v- <br />/«Q-Q nArzVJc <br />Si <br /> <br /> <br />G5F F <br /> Fsr - <br />p - 2FA F <br /> ( (M\ tx <br />Fr \\O\~ / <br />vmS- m ~ <br />\MioF c <br /> ____ <br />Food Program Official Inspection Report <br />PufixpFn PaLHACo/n ivW,o. Date: lO-z-2:2 <br />f nvOvG G City: cOhzof ZipCode: q 5-550 <br />Ty I Telephone: <br />----------------- <br />_pook------ <br />r 40LZBj <br /> <^<7-2 " MJ <br />i r <br />z kJ Pv<a <br />G. f <br />Food Safety Certification