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0. <br />I <br />)k <br />Temperature <br />O . Q, o\ \ <br />Name: <br />Other:Quat. Amm.:Exp. Date:*F <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 />& <br />0^ <br />Chlorine:“F <br />°F <br />\OQ-IO <br />I OOM O& R_______1 <br />t F <br />rage |Ui <br />FOOD PROGRAM 0IR CONTINUATION <br />Temperature <br />iqlR <br />I MZR <br />Owner/Operator: <br />Program Element:^ <br />SB180 Posted Yes <br />__________ Item / Location <br />M figyvoxV_______ <br />M Iup- <br />M CWSX <br />Facility Hot Water Temperature <br />Hand Sink: «p <br />Warewashing Sink: <br />. • ' observations and corrective actions <br />Received By/Tlt^:.^ U <br />EHspcc'a"s;:-zvFji^G^ <br />rimeln: SOC______________ <br />EHD 16-24 (2* pg) 4/3M3 <br />Warewashing <br />ppm Keat: <br />ppm <br />Item/Locatiori <br />\io ~c <br />^^5 r <br />Food Safety Certification <br />Program Record: q ltS'^~123> <br />Permit Posted Yes No ’ <br />< "Phone: 2-- Ip ) b O>2~S~ <br />Time Out: Page -of <br />Food Program Official Inspection Report_______ <br />Name of Facility: MrA/vk t ~ V^\)y ASlowV? Date: V> <S-2^ <br />Address: cl^: ZIPC°de: Ct sSSO <br />H — 1 -j - ' 1 H Telephone: <br />________Inspection Type: / ~T <br />Re-Inspection on or After: <br />Xo \23- C-Mr-Q Ao <br />Q <br />\. C\^Vy<SXK/\ d VA <br />F<~9 A CrQ~ <br />kdcxAo- <br />- ^A5~v9 po <o <br />Dr -G rwr^