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pR�?IN SAN JOAQUIN COUNTY <br /> 1p' <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> ��LlxOR��P Telephone:(209) 468-3420 Fax: (209)464-0138 Web:www.sjqov.oEg/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Fso\y <br /> cility: / <br /> LfcAaa! [. � �2(p Date: <br /> City: �1 �� Zip Code: <br /> rator: T� y 5 2 Q <br /> Telephone: <br /> ement: Program Record: n�O,�O �3 Inspection Type: <br /> edes C No Permit PostedA Yes G No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> n <br /> p S Co r r�c <br /> Ono)- i -fes <br /> r <br /> r w <br /> CA raZ t'o)a rar+ no -r'- <br /> 1 re - <br /> 1 r ►� ln�crr i m v vr7 1 W O <br /> r a-f <br /> L4 ja- -t r Le o dF G( �' <br /> rn a 0- 08� <br /> Ca-c1c <br /> Icr <br /> d <br /> Item/Location Temperature Item 1 Location Temperature Item F Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: 5Ftl Chlorine: ppm Heat: •F <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By 1 Title: yu� a 0-3'-C` <br /> EH Specialist: / Phone: <br /> Time in: 10-'10 Time Out 0.. 0 Pagel of <br /> EHD 16-24 (2' pg) 1112!09 FOOD PROGRAM CIR CONTINUATION <br />