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City: <br />OBSERVATIONS AND CORRECTIVE ACTIONS _________________==^========= <br />jj - ?ASz( >(x <br />^7 <br />Z <br />Item I Location Temperature <br />Food Safety Certification <br />~7/J0 <br />Zv'vvVftirv' <br />- 17^ , <br />11> 'K <br />No <br />4^ / Lt— <br />San Joaquin Count'. <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 />Received By / Title: <br />EH Specialist: <br />Time in: <br />Name: <br />Exp. Date: <br />(f <br />Item/Location <br />°F <br />°F <br />Name of Facility: <br />Address: <br />Owner/Operator: <br />Program Element: <br />SB180 Posted Yes <br /> Temperature ' <br />Yes No <br />Food Program Official Inspection Report______ <br /><»hai^\ s'/zy/^z- <br />vy\ ________________CI<|,:_____________!ipCod6:__________ <br />V'bZthlZfcMn T.lephone: <br />Program Record: ____________________Inspection TyPe:7Z^ ZZtZT— <br />Permit Posted Yes No Re-Inspection on or After: <br />EHD 16-24 (2"dpg) 4/3/13 <br />zryv | (Z <br />PagdUof <br />FOOD PROGRAM 0IR COhfrlNUATION <br />Facility Hot Water Temperature || Warewashing <br />Hand Sink: op |chlorine: pprn |Heat: <br />Warewashing Sink: op Quat. Amm.: Other: <br />>—' ' Time Out: <br />H ( <br />(PIP__ <br />- <br />rWX ex . p A,V\ r ,________ <br />p-■ C-tA/j"', pr<^vwv^>c^ *'zAA- ICC- iCJ_____ <br />K)d'k- iVzXiVt, riru- AvF l/jh______________________ <br />vpi/tTkvuU (fl/v-t kKtiXt <br />0-f /J ' pz'vVfrhU. " <br />ywXP P^I-^WL IJ rzdX . f/iAx Zc <br />^yiVlA (L (. y \ VYVv, y\__________________ <br />MnciV i [yirnrh^ ipMi sediv | ^>bG pf?/|A <br />UtoGfr 7 . \ <br />17^ ._____-___-_____________________ <br />^l(h/ <br />Z?zW7£ <br />fiJUH 01) U P /K UlfS <br />......' - <br />r'^W-5 <br />Ljl to t <br />T cs^w-vLyi j-i Z J <br />~ < / lo/ '-O-f-- /iA <br />4<3vtojL A<Z -frA <br />l/tlvuiU