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c^U'C); <br />Item I Location jemperatureItem/Location Temperature <br />Food Safety Certification <br />EHD 16-24 (2"° pg) 4/3/13 <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.orq/ehd <br />Received By / Title: <br />EH Specialist: <br />Time in: <br />Chlorine: <br />Quat. Amm.: <br />Heat: <br />Other: <br />°F <br />°F <br />h 'X, pvti <br />\^C\cX£ <br />Pa9«2?f4 <br />FOOD PROGRAM 0IR CONTINUATION <br />I nCx_______________________ <br />Program Record: pg. 2b <br /> Yes I <br />£cin <br />-K) ^09 <br />- 0^^ i <br />Warewashing <br />ppm <br />PPm <br />observations and corrective actions <br />C^CgC^cTlS C lie <br />CjPC^rd • y?tf o¥f <br />■it.. <br />Name: <br />Exp. Date: <br />Facility Hot Water Temperature <br />Hand Sink: op ( <br />Warewashing Sink: op ( <br />XP 6 tefl VG A^S . _ .____. <br />Phone: q'4(^) ' 54^ <br />Time Out: <br />The vn-h | <br />Food Program Official Inspection Report <br />Name of Facility: Pqn "p/zqU'n Date: <br />Address: W <^7; ziPCode: <br />Owner/Operator: pipcp' Fl ING Telephone: <br />Program Element: Program Record: pp ^,qq 2 b Inspection Type: <br />SB180 Posted Yes Hermit Posted Yes □! Re-Inspection on or After: <br />-oh________1 <br />~ Ave twi A <br />C|p(,virr-i - <br />" JWrj wpts <br />- ^0 * <br />cl________ <br />-oh _____________________ _____________ <br />(J) -^TplMd <br />--POoT A Voq-Tp^J Gygp - closed <br />- Fri A flF*2 vn cogUc? Pt \ <br />CMh oh voc^ <br />(onecni q-k?, <br />fq kignS CLughncj <br />CocflAnq , <br />h ch ___________ <br />_____oh VhC cooK -,k <br />(?nd C\ VtSCcAvhnuC <br />_____corteued or> Q-je. <br />.........Co ,-------------------------- <br />I) ( Funnel <br />Yngdn hvwV ~ <br />h:WA cue ^I'xe'd cp The <br />. \0ppn phtnno mo The <br />GO ppm C/hlo^ing. <br />WCa-W V< AWCTMXtih