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No <br />cn <br />i <br />ex <br />s?>r <br />Heat:°F <br />Warewashing Sink:Other:F °Fppm <br />J-vk^XAr-^Phone:Co­ <br />Time Out: <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.sigov.org/ehd <br />Received By / Title: <br />EH Specialist: <br />Time in: <br />Chlorine: <br />Quat. Amm.: <br />('x'’ <br />Warewashing <br />ppm <br />Cn A <br />I" <br />U .2 <br />EHD 16-24 (2«pg) 4/3/13 <br />Temperature <br />1SSF <br />Temperature <br />51E <br />V E o J2 \ x a 9 <br />3p2-_S <br />Page, of 'ZZ <br />FOOD PROGRAM OIR CONTINUATION <br />Item / Location <br />v- C Exa- z- c X ? <br />MA g-A- <br />Eo \ A ~ fW <br />1 ■ Tin <br />i kzwj gaiety uci uncauoii <br />Exp. Date: <br />Item/Location <br />0^ (7^ cz^z-p <br />-y- _ _ <br />FOdd Safety Certification Facility Hot Water Temperature <br />land Sink: oF <br />_________—_______________________(JK__ <br />/ 2 k y < Q>CSO C.yZ~) 4 i <br />Program Record: <br />Permit Posted Yes <br />L- <br />■ 2 ) CaY3(xAvx^ ErV <br />2 C c<>i P <br />IS AND CORRECTIVE ACTIONS <br />Vx/^^-z^U) C \r^A> <br />s<ojP- <br />\nQ-I ~7 I A <br />OAEexv S x 6Lp JI ~ <br />~Vvc^-e>A M I <br />u <br />. '^ZrroAi <br />-°X I P)?st-___________ <br />Ma - t'^SS i~ <br />______ Food Program Official Inspection Report_____ <br />Name of Facility: Date: y Q - 2, - <br />Address: «=y, /AX^- AZA P e -l City: Zip Code: <br />Owner/Operator: Telephone: <br />Program Element: Program Record: V E'Z Inspection Type:—r C_ <br />SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br />mi <br />O\.jxjA I