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SAN JOAQUIN COUNTY <br /> y� ENVIRONMENTAL HEALTH DEPARTMENT <br /> !� 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> .. <br /> Telephone: 209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE: <br /> Safeway6-23-15 <br /> ADDRESS: CITY: ZIP CODE: <br /> 1801 W. 11th St Trac 95376 <br /> OWNERIOPERATOR: TELEPHONE#: <br /> Safeway <br /> Rec)RD P�� <br /> TYPE OF INSPECTION: ❑ COMPLAINT ® CONSULTATION ❑ OTHER IDt: SR0071939 ELEMENT. 1601 <br /> 1. Provide a splash guard between hand sink and 3-comp sink. Correct today.10:176 <br /> 2. Prep sink is not installed. Provide 120F water to prep sink and provide an air gap once installer <br /> (In hallway) <br /> 3-comp-135F, hand-117F <br /> OK to prep once prep sink is installed and functioning. <br /> TIME <br /> INsvecreD BY: Melissa Nissim (209) 4683168 TN 10:00 our: 10:15am <br /> RECEIVED BY: /` 7 _ DATE: <br /> 7 <br /> EHD 48-05 Rev Page 1 1T/75 INSPECTION REPORT <br />