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if.r <br />5^-^ f / <br />C/^ZL^ZZ^l <br />1 <br />^4^/0 rM^jEftoHe?& <br />nr . > <br />PPm <br />[uat Amm.:Warewashing Sink:Exp. Date:°F°F PPm <br />Phone: <br />n'?’::rr <br />Name: <br />— pT*^- I o ^-» gx> -K <^*1 <br />>^5^7 <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 />SS <br />Tetr <br />Facility Hot Water Temperature <br />Hand Sink: op <br />Name of Facility: <br />Address: <br />Received By / Title: <br />EH Specialist: <br />Time in: <br />'Sr'joisJI ■€> <br />1325^ <br />]_LPA__ Program Record: r fio 5^^ <br /> Yes Rermit Posted Yes I <br />< I <—-------- <br />AJ 7^ c. e <br />LTfir-3? <br />% <br />: ...W.........„ <br />^/rbe^' <br />lu^. SY1 <br />y -A n^i_______________ <br />EHD 16-24 (2nd pg) 4/3/13 <br />. <br />Foodf <br />4- ' r—,®r-> » A J, <br />'... <br />c X/tS c <br />X NguvJ —L-t <br />Ioc I c> ~i <br />_ __ <br />... <br />>iMca £>€ /ViA/^p <br />______3» i- I a7. c e « <br />Owner/Operator: <br />Program Element: <br />SB180 Posted <br />. ' :■:; ■ <br />hlorine: <br />Food Program Official Inspection Report <br />r'm.Mu.y ries-rA_DM»: 5-7-ao 2 3 <br />5-T. Clty: 5TockToV z'pC°J,: <br />Telephone: <br />Inspection Type: g^gAy <br />Re-Inspection on or After: <br />Heat: <br />Other: <br />____2- O 9 - TZ / - g 3 <br />TimoOu.; <br />FOOD PROGRAM 0IR CONTINUATION <br />3 CORRECTIVE ACTIONS