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- ig - <br />Temperature <br />Food Safety Certification <br />Chlorine:°FName: <br />Quat. Amm.:°FExp. Date:°F <br />Phone: <br />Time in: <br />b <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 />PPm <br />PPm <br />Warewashing <br />Heat: <br />Other: <br />C-SlVlldA. du. <br />TT71OVII44- vngy <br />-V7UT Vioj <br />Facility Hot Water Temperature <br />Hand Sink: op <br />Warewashing Sink: <br />.tod___________ <br />j TzUf- nWttozd -t <br />' I WffgL- " ________________ <br />nun Temperature || Item / Location <br />ifr) PEEl Ito/fUto-TfK <br />Program Record: <br />Permit Posted Yes <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br />tbuylW/L'Tl- <br />toLv iir i -E?_ -1 (pD^Z kp IT ztiiTTr Q/zig pwidj! <br />I <br />_______ Food Program Official Inspection Report _____ <br />Name of Facility: Date: - 5//y/>3 <br />Address: zjpCode- <br />Owner/Operator: Telephone: /() <br />Program Element: Program Record: Inspection Type: l-A- <br />SB180 Posted Yes No Permit Posted Yes No Z Re-Inspection on or After: <br />Time°ut:Z/>'.^WfZ? p.3er<y <br />FOOD PROGRAM 0IR CONTINUATION <br />Received By/Title: ,.\J ^3. <br />io^sH ow <br />EHD 16-24 (2nd pg) 4/3/13 <br />WEdg&d ~ <br />C^jptvu.t Z/to <br />uWj ontXianue--q>qs