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12TF <br />Cc r rf„C <br />Food Safety Certification <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 />yx7- <br />Name: <br />Exp. Date: <br />, Program Record: <br /> Yes Permit Posted <br />Chlorine: <br />Quat. Amm.: <br />Warewashing <br />Heat: <br />Other: <br />ppm <br />PPm <br />Page of <br />FOOD PROGRAM 0IR CONTINUATION <br />°F <br />°F <br />Name of Facility: <br />Address: <br />Owner/Operator: <br />Program Element: <br />SB180 Posted <br />[0 <br />3^1 <br />Facility Hot Water Temperature <br />Hand Sink: °F <br />Warewashing Sink: op <br />w <br />chh:. <br />1,0 q <br /> Yes I <br />1 A vJ i oo F ' F <br />v t d-€ <br />_____ <br />- PHFQFF -Focp Aa bel <br />( For be Io ia.i ) <br />-pro tAcLe, <br />Pui L-,, r ____ <br />hoc kF ■ <br />r^-% F <br />'(TT5 <br />• n Vzsr. I <br />nfterature T Z i Item / Location : ■ TemperatureJ. <br />I'l o viVs gwcL <br />yes r~ £ ciA\ V <br />AA^i^ "f'-S-k.Ur vVFjg <br />3 2. F -. FAaaA yjas k 114^° k. <br />f f ^FL^ation . / iTerr <br />L....C^rCfj^M.,............^..... ’______ <br />..............................................................-..—-------- <br />Ak Ho-b • <br />%<Lp ittiFtJL aF, l3F F <br />Tir" F-pka rtJ>i~Fb bi, <br />mc(o<>^T€. - - <br />- 'ProTL^ • <br />Do^3 <br />___- V H F \Mk7jj -FtACL cort <br />_____rkiML ie>Cj__ <br />___~ ' 20V l (bg> | OO jbfwi <br />.........C iV-kkr^ n frF ! ik iA~t4 i Fl___j <br />AAW t'S^F^L-L <br />OBSERVATIONS AND QDRRECT|/e ACTIONS ' ‘ J <br />A/u^UliFzV /J c .. - <br />4-?< Art ■•' tD i r' rA-M-Hno.O V- ~TFF~F -x- CoM ^PFF I <br />iZQ 1^3^ SLtuFkrAor <br /><rh^ <br />Received By / Title: j^ L c-\"^ <br />T"ine'n: iOwA _________2 <br />EHD 16-24 (2nd pg) 4/3/13 /r' <br />Food Program Official Inspection Report <br />Date: <br />Zip Code: <br />Telephone: <br />Inspection Type:.^^^ <br />Re-Inspection on or After: f