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SAN JOAQUIN COUM..! <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sogov.org/ehd <br /> 4ti cC'A`' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Tac s G: a> 6 6-1 <br /> Address: NtJ Ih 5 j #13 city: r , Zip Code: ��.j�� <br /> Owner/Operator: Telephone: <br /> /0 <br /> Program Element: Program Record: Inspection Type: u f.nr <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> BSERVATIONS AND 1iRECTIVE ACTIONS <br /> — —_ <br /> loci _ ;� u/ a Ili 1 X <br /> d t' h C s:r, R ,: r <br /> 3 I,Qi iA a GAJ G :4P. <br /> Item/Location Temperature .. :. Item 7 Location Tempera °` <br /> q11 F <br /> �cn ;fh 1 ,1 11 ' 3 9 F Tuc <br /> Food Safety Certification ' Facility Hot Water Tempera Ure_ 1 Warewashing <br /> Name: Hand Sink: `F 'Chlorine: Ppm Heat: 'F <br /> Exp.Date: arewashing Sink: /.20 y of r <br /> uat.Amm.: PPM ther: of <br /> FEH <br /> ceive7By/.Ttle: <br /> SpePhone: <br /> e in: .2.2 Time Out: 1;:q? Pag�of <br /> END 1&24 (2m pg)4/&13 FOOD PROGRAM OIR CONTINUATION <br />