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City:STD cK TbtJ <br />2 <br />3 <br />/£)£) -/ . <br />Item I LocationTemperature <br />ofPagi <br />EHD 16-24 (2"a pg) 4/3/13 <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 />Received By / Title: <br />EH Specialist: <br />Time in: <br />Name: <br />Exp. Date: <br />______I <br />I Facility Hot Water Temperature <br />|Hand <br />Warewashing Sink: <br />Phone: <br />Time Out: <br />Heat: <br />Other: <br />OF <br />°F <br />- <br />' y t>< <br />/d: <br />FOOD PROGRAM 0IR CONTINUATION <br />Item/Location <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />&ECUTI __ __ZZ <br />C ua u P !A— y ________ <br />P Z9 M <br />■ <br />Chlorine: <br />Quat. Amm.: <br />________ <br />/c. / May ~ <br />^TZA/X <br />Food Program Official Inspection Report_______ <br />c»rv<e> FAfuicy piesr*'_________Date: ^-7-2023 <br />N City: std cK TbtJ ZipCode: ^52^ 2- <br />Telephone: <br />inspection Type:^^^ <br />Re-Inspection on or After: <br />pp/s 232^ zr <br />(37) <br />P ~^'>>?Z7rrX/ <br />-/OFF- <br />Name of Facility: <br />Address: 2 1/ <br />Owner/Operator: <br />Program Element: ________Program Record: C / <br />SB180 Posted Yes Hermit Posted Yes DI <br />Warewashing <br />ppm <br />ppm