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City: <br />Telephone: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />M <br />loo (U-azJh- <br />A <br />% <br />v- <br />TemperaturezSS-X ■ <br />/a-CLx_v,-e <br />wor <br />Chlorine:Name:°Fppm <br />Other:Exp. Date:°F°F ppm <br />Received By / Title: <br />Phone: <br />Warewashing <br />Heat: <br />Inspection Type: <br />Re-Inspection on or After: <br />Program Record: <br />Permit Posted <br />13> f— <br />----------------- <br />Safety <br />San Joaquin Coun .. <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 />(v <br />A' /CFl ■■ <br />Temperature <br />y— <br />Quat. Amm.: <br />Name of Facility: <br />Address: O i v <br />Date: <br />Zip Code: <br />EH Specialist: <br />Time in: <br />C I - 2a.YO .Q3- <br />IQ- b 18 <br />Page.-pf ■-> <br />FOOD PROGRAM 0IR CONTINUATION <br />Time Out: <br />Item / Location <br />H \ Z5 CAfy-x <br />EHD 16-24 (2nd pg) 4/3/13 <br />J?___ <br />Owner/Operator: <br />Program Element: y\£>C\ <br />SB180 Posted Yes No Yes No <br />VlcaiaP <br />tYw? _______ <br />sL'rt <br />Facility Hot Water Temperature <br />Hand Sink: »p <br />// |W?r^^shin^ Sink? <br />a„A" < ^~> <br />A /□e-xyA iW-cl-- <br />. A by-vy. <br />Item/Location <br />b ucJcQ 'A- \<A vy-^ -L^ . <br />Voi^ - <br />C iTVOazjP A-Aff-e p-7 . <br />'Z- k CO <br />Food Program Official Inspection Report <br />________ <br />'MSP' <br />GAA-ey-p SoJt <br />r>X<A -X^WXfXrA Co^ \r-^rf - <br />o ■ ~Vve cbJuf <sU 1 " <br />P K ) I c . V~1 O-^JZr-9 Own