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(c ^\c <br />. <br />°FPPm <br />Exp. Date:Warewashing Sink:Other:°F °FPPm <br />Phone: <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.siqov.org/ehd <br />^ting <br />Heat: <br />Temperature <br />4\P 1 <br />Temperature <br />1 SBi- <br />M I F <br />^^'302^ <br />\' 30 py <br />NoNo <br />Page^of <br />FOOD PROGRAM OIR CONTINUATION <br />lOOF <br />Facility Hot Water Ter <br />Hand Sink:op Chlorine: <br />Quat. Amm.: <br />Name of Facility: <br />Address: \ <br />Item/Location <br />I ^OvSO- c V U.______ <br />__ Food Safety Certification <br />Name: 7" <br />Program Record: <br />Permit Posted Yes <br />Food Program Official Inspection Report______ <br />kO ■a C<Y^r\ x e Date: \ O • 3 - 2 l <br />City: Zip Code: <br />Telephone: <br />Inspection Type:— <br />Re-Inspection on or After: <br />Owner/Operator: <br />Program Element: <br />SB180 Posted Yes <br />\ rvKp_ <br />, Item / Location <br />(vr~ <br />Received By / Title: <br />EH Specialist^.\ c, <br />Timein: <br />EHD 16-24 (2n<l pg) 4/3/13 <br />—v ■■OBSERVATIONS AND CORRECTIVE ACTIONS