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City: <br />6 <br />1 • <br />za <br />& K <br />/ <br />iCLi 4c. <br />¥- <br />Item / LocationTemperatureItem/Location <br />Food Safety Certification <br />Chlorine:°FppmName: <br />Other:Quat. Amm.:°F'arewashing Sink:ppm°FExp. Date: <br />Page ofTime Out: <br />FOOD PROGRAM OIR CONTINUATION <br />EHD 16-24 (2” pg) 4/3/13 <br />Name of Facility: <br />Address: <br />EH Specialist: <br />Time in: <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 />J <br />- —— <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />S—I <br />Warewashing <br />Heat: <br />oPr I Or? F - V F- <br />-------- -------- <br />Temperature <br />t 'C <br />Received By / Titl^ i < " ' -I <br />"F » Phone: <br />I Facility Hot Water Temperature <br />(Hand Sink: °f <br />U ZZ <br />ft? b <br />__I 's /-1 <br />^7 <br />£ Mi A 5 A A <br />A v H <br />Py'd <br />(/P) /~yz' ,p Z t- <br />J Ar L,) <br />----------//i ;'.7/4/7c. <br />Program Element: <br />SB180 Posted Yes <br />c i6 'tygt 7<^ . jxiM <br />Hog- sa-bA&vo <br />£L£££M_____ <br />a/ ; , .- <br />/APT7 <br />lot F x <br />z?w r * <br />_______(V.J- c <br />________r -Mr ->z <br />-------ft-F <br />_____________iCVv X <br />i CP —/?WtX < <br />A /A A <br />k_ //. Aw <br />>74 —-= <br />yogi <br />$ U Zc XT? /-4 —Pl <br />ST'/biP/icwj's /Ptzfls&'j <br /><CT <br />Owner/Operator: <br />., /_ Program Record: <br />■ ' ■_______________________________________________ <br />No Permit Posted Yes <br />Food Program Official Inspection Report <br />,-LUU^ <br />Telephone: <br />Inspection Type: <br />Re-Inspection on or After: <br />H^T y7/ [Va