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io Q U Ar'h <br />H) f)L_b <br />ct<LL.,^~F:IdL^SJi <br />Cg) Zz/V/V/j1 <br /> azTT/T^T <br />TemperatureItem / LocationTemperature <br />Food Safety Certification <br />EHD 16-24 (2"= pg) 4/3/13 <br />°F <br />°F <br />Phone: <br />Time Out: <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 />Received By/Title: <br />cl/xu&ia Muro <br />Chlorine: <br />Quat. Amm.: <br />Name of Facility: <br />Address: <br />Name: <br />Exp. Date: <br />EH Specialist: <br />Time in: <br />Facility Hot Water Temperature <br />Hand Sink: °f <br />warewashing Sink: op <br />Warewashing <br />* ppm <br />/z>/ 7 M/ah-q__i" <br />g r &■ 3 <br />'Pty tsce <br />5-si <br />PageNet <br />FOOD PROGRAM OIR CONTINUATION <br />/yA <br />___ <br />Item/Location temperature <br />r IWlkWn \\4ira»7 <br />C i H CO (A <br />Z- 2- I / T * L . 1- C I *- IX, l ,■____ <br />Owner/Operator^pJ^jp (u <br />Program Element: im Program Record: p <br />SB180 Posted Yes No Permit Posted Yes <br />T^f.p <r <br />a ] //v//VTC’Zv \ <br />Food Program Official Inspection Report_______ <br />ICQ LB/Z(MO TAI 4’^Y Date: Z~~ <br />N* cENtB ST, _City:ST0CkfCAZ ZipCode: 952.0^- <br />---— <» 1 j S C EQ IN & Telephone: <br />F|<0 50& Iftl ^Typ^/kf^fNo Re-Inspection on or After: <br />'■ Z? t / b ONU -75-' <br />OBSERVATIONS AND CORRECTIVE ACTIONS