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!( <br />Zip Code: <br />Telephone: <br />Inspection Type:Program Element:Tewp fistn t <br />Re-Inspection on or After:SB180 Posted Yes Permit Posted Yes <br />/£ <br />C cc / eJ <br />Li <br />G r\ <br />Ci /A <br />TemperatureItem/Location Item / Location Temperature <br /> _____ <br /> <br />Food Safety Certification <br />Name:hlorine:°FPPm <br />Exp. Date: <br /> <br />Warewashing Sink:Quat. Amm.: <br /> <br />Other:FPPm <br /> <br />Phone: <br />Time in:Time Out: <br />EHD 16-24 (2^ pg) 4/3'13 <br />Received By / Title: <br /> <br />EH Specialist: <br />1^ , ■) Ch/. <br />S <br />zn. <br />C f r\ <br />City: <br />a <br />or <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />-LLuC__(\‘lJOGr <br />Warewashing <br />Heat: <br />°F <br />•/(7 rr\ <br /> <br />I]6'!/A b <br />£ <br />/q /r <br />JCTTl. .-WV . <br />Facility Hot Water Temperature <br />Hand Sink: Op <br />A (/errxttA J h <br />^7 I fl-c/oor)' <br />\cjdc.\/ _______________________ <br />f 0' <br />c <br />OGr, M I <br />JdjdJ <br />Cjjz^e. <br />Corr\ „ 7V7a/ <br />.I 41? <br />V__IsLa___Ic.'cl_____P^p— <br />J) )\_Lc p >__ <br />r p/) Q) (A^rrVler. / 97 <br />- __________________________________ <br />San Joaquin Coil v <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.orq/ehd <br />do^ ( <br />/q/F \ dcor- <br />p c c^-LLl <br />----Jr.ppy <br />___C' h »C <br />Closed _ Qhd <br />__ ___Sa/w- 2oc <br />S /jc/L , lOoil k'-,r> - v7 r , 7- docjtr- <br />f\o^ lUar/iJssh OU-/S, c/ff. _____ <br />drcfpiriS /VI' (U A< 5 Lc d■ C A~ <br />s______1n t < *t4 Ur 0 \ 4/ 7 f Tyln i A'lti'Vy <br />dlt__________ <br />~f ' ; 7 A •/ <br />1J /? lAainrWf ' f <br />Of r\^ I tz 'T JG c-C' 1 _ <br />», ■ / <br />de, y <br />Ppp 5 . <br />Page/ of <br />FOOD PROGRAM 0IR CONTINUATION <br />Name of Facility: <br />Address: j <br />Owner/Operator: <br />Pci 4 6 h____A <br />/? d <br />F| A Dell G5S c <br />Program Record: x (] J <br />No <br />de ps . <br />l-Urn bu>-7 <br />7c c/fi y <br />/z7 zOT p f r\ q <br />7Qa <br />’S)_jSoiimJ <br />bJ g i k a <br />be louz 1 <br />Food Program Official Inspection Report <br />^uihpKin PcJsh A Ccrr\ 0 7f Date: <br />TYI^Iheo d d City: <br />Sis <br />/ 6 9 5 <br />No