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City: <br />Lf <br />Item I Location TemperatureTemperature <br />___:ion <br />Phone: <br />JO L S~ /j 4z] <br />EHD 16-24 (2nd pg) 4/3/13 <br />hlorine: <br />luat. Amm.: <br />PPm <br />PPm <br />San Joaquin Coui* <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 l/lfeb: www.siqov.orq/ehd <br />?:923 <br />Time Out: >/») • // Ji <br />Received By / Title: <br />EH Specialist: ( <br />Time in: <br />Program Record: fO Q $ 0 I £ I <br /> Yes QI <br />Name of Facility: <br />Address: <br />Owner/Operator: <br />Program Element: <br />SB180 Posted Yes Rermit Posted <br />Facility Hot Water <br />Hand Sink: <br />Warewashing Sink: <br />Pag^)of(y~ <br />FOOD PROGRAM 0IR CONTINUATION <br />shing <br />Heat: <br />Other: <br />°F <br />°F <br />’«,i <br />°F <br />°F <br />Ils.. <br />iff i f K's <br />__ <br />Name: <br />Exp. Date: <br />■ <br />_== <br />Y° »-T A y A s <br />__-fgri- io a <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />Do £ fl S <br />—; 4_ <br />y* <br />_______- *0Q___' <br />: Go^elalu'ae. m&vtAs <br />iAf~ yn u AZ> <br />a <br />a____\OQ .tfkltfWG <br />____y/r^________ <br />y zx> <br />Food Program Official Inspection Report <br />ciavco riegr*_____________Date: f-7~zoz3 <br />I City: ^toc^toaZ zipCode: <br />Telephone: <br />InspedonType^^^, <br />Re-Inspection on or After: <br />CA- ^70/3 <br />, , / o\4 fr,Q,\U?) ----- . -----—------ZI-------------- <br />Yk6< \£Oljp ?Kp\/\P6 \35t <br />a? — X re ~~. <br />> Af >A//kJ/ kJ Z<^Cc7/?Z7S~ <br /><<///?/C / Z? O rJO I <br />-5-//QAC / <br />Pp tee o-Fty-y yoo <br />item/Location