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MM F) <br /> zr <br /> Temperature <br />Mor <br />Name: <br /> <br />Exp. Date: <br />°F <br />°F <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 />Z ) CaS^- <br />ZAk o~ <br />\Ax, <br />Phone: <br />Time Out: <br />L ' v I <br />Si <br />No <br />TT2 <br />c'ly: <br />Program Record: <br />Permit Posted Yes <br />Item I Location <br /> P-QpoJ. ~Fc^p-£. <br />Warewashing <br />Chlorine: “ ppm |Heat <br />Quat. Amm.: ppm jOther: <br />Name of Facility: \ \ ^ C <br />Address: ScM Mo, <br />Owner/Operator: <br />Program Element: yt <br />SB180 Posted Yes No <br />Facility Hot Water Temperature <br />Hand Sink: Op <br />Warewashing Sink: op <br />jj-S, 3=| <br />.Q Sx *5 \ rA/, <br /> ~e~c\ <=) *41 - _______*s <br />cL-op-zg, XZ) 17,S p 4x7^ <br />IHOF - CrVW _________ <br />P' rnjai <br />Food Program Official Inspection Report______ <br />■Os^O___________________ _______________________Date: I O H-2x0 <br />iza City: ZipC°de: Qsw <br />Telephone: <br />Inspection Type: <br />Re-Inspection on or After: <br />F\ 4x3 l oSl J <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />~~ ~ FC C - Cv F- <br />ga\\:z <br /> <br />' Item/Location ,. <br />ILFood Safety Certification <br />C jtC <br />~ \ (yO <br />- 12CF <br />i CAVCv^p v <br />(vAtxq | <br />—ZcLcvZ -u <br />O A C-V.- V I < <br />Received By / Tit.e: QZZPCA, _ _ <br />EHSpeciaNsj^j^^^ <br />Kime in: ____________________________ <br />EHD 16-24 (2nOpg) 4/3/13 <br /><oUo-3Q2S~ <br />XUScwC Page, of <br />FOOD PROGRAM 0IR CONTINUATION <br /> <br />Ota F i Ac Z) 'flFFs Cx-aEFza <br />C is MIqF C pyjp^Jcx-xox \*S <br />Fo\j^ M1 F ZZa a 9 > ______________