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SAN JOAQUIN COUII <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c4�)Fan ;a Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sFgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: J (A .e w a Date: <br /> adreas: SOI f�\ . I�ah 5� City, -Fra! Zip Code: 7S3JL <br /> Owner/Operator: SCA VC W U)C' Te) Telephone: <br /> Program Element 16 C, P ogram Record: UQ 353 51 InspectionType:�✓rl <br /> SB18O Posted ❑Yes PNo Permit Posted Yes [] No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> CONI 1 (4 � nl 5jl'l 5 - 1311ocl ry)cid c,, frcducof <br /> cI o <br /> 4e S. 4- /� ac , li � (Du A Ur � J 4 <br /> C le u 0 { { /I hfn C; l; {X C /e ' nS <br /> m5le's Wee K / Mod abSn VrC/ a -1 4; M <br /> 1eW m:s -1? i 8h J <br /> ah 01CCACI W' 6i CA nog le A-73 <br /> Item/Location Temperature Item/Location Temp`"e, ure <br /> Food Safety Certification Facility Hot Water TemperatureWarewashing„ _ <br /> Name: Hand Sink: `F Chlorine: Ppm Heat: 'F <br /> tip.Date: arewashing Sink: 'F Quat.Amm,: PPM ther: 'F <br /> Received By/Title: <br /> v <br /> EH Specialist: Phone: <br /> Time in: _ O Time Out: �. yJ Page <br /> of <br /> END 16-24(20°pg) 4/9/12 FOOD PROGRAM OR CONTINUATION <br />