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SAN JOAQUIN COL iY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax.,(209)464-0138 Web:www.smaov.org/ehd <br /> �1FOR~ <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: - — DNA- 1?�C.Ly Date: 2 <br /> Address: n:T City: t Zip Code: <br /> Owner/Operator: / r Telephone: <br /> Program Element: 2J Program Record: /„ / Inspection Type: <br /> 8180 Posted Yes No Permit Posted es No (�' Re-Inspection on or After: <br /> I J0 <br /> uce a H . <br /> aM u C -F JAr ak%. eel ✓L LI <br /> -2 C C-ll <br /> r <br /> 0 J <br /> h 0 ,(- <br /> Walk,, <br /> a W r � - IIOF <br /> t/' w <br /> Ih - tA h ✓ VlPfirfh n <br /> Ilenkocation Tem erature Item/Location 'Temperature <br /> � / I- Ir L /IC-5- <br /> C rwa Nh <br /> r _ 3 u �3 <br /> —/— <br /> / r(F Cil II{tl J'ucIe <br /> Food Safety Certification Facility Hot Water Temperature Wa .'sola g �'_•; '_ <br /> Name x *�, Hand Sink: -F Chlo ine� PPM Heat: F <br /> 1,-1—s; , �� `' - --- <br /> Exp.Date: Cr I arewashing Sink: 1 t of ouat.Amm.: PPM Other: of <br /> Received By/Title: d <br /> EH Specialist: Phone: oflf <br /> ' <br /> !me in: J Time Out: It Page <br /> i <br /> EHD 16-24 (2-Pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />