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SAN JOAQUIN COUNT <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> &0: x :< <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209) 464-0138 Web:www.smgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 717 n ADate: r-.?-I—// <br /> Address: (�' City: ` Zip Code: r r <br /> OwnerlOperator: i �t r �vLnJ p J Telephone; 3,-"2e Q_ <br /> Program Element. 1/_D Program Record: G1 Q�D Inspection Type: /l rn <br /> SBf80 Posted 0 Yes C❑� No Permit Posted []Yes ❑ No Re-Inspection on or After: LU T <br /> OBSERVATIONS'AND CORRECTIVE ACTIONS <br /> 00 r d-S 4 n eq o r Gni i t a Me hr hood Ven 4- <br /> r <br /> l t <br /> 17 di <br /> n4). l 1-c.,s 01- <br /> -AtemlLocation Tem erature item.!Location. 7em erature �ltem 1 Location. Tem erature <br /> Food Safety„Certification Facility Hot Water Temperature Y Y Warewashmg �� r <br /> _...._ <br /> Name: Hand Sink: of Chlorine: ppm Heat: °F <br /> Exp.Date: Warewashing Sink: -F Quat.Amm.: ppm Other: 'F <br /> Received By 1 Title: 77 <br /> EH Specialist: �+/,, , _ one: <br /> Time in: ��J Time Out: Page of <br /> END 16-24(2-pg) 1112109 FOOD PROGRAM OIR CONTINUATION <br />