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oPa�";" raG SAN JOAQUIN COUN,,./ <br /> :. ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.siaov.org/ehd <br /> ��FORN <br /> FOOD (PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: J 0 r L I T4 Date: d". <br /> Address: (A), V City: Zip Code: qS <br /> '77 G <br /> wner/Operator: j o^ s I -rq a ; .0 n Telephone: <br /> Program Element: //O Program Record: / OQ 0 3 YZ qr Inspection Type: <br /> 8180 Posted Yes No Permit Posted Yes No Re-Inspection on or Aker: <br /> —. _.08 ._RVATIONS AND CORRECTIVEAGI <br /> CGm a:n4 s4ale - Gbs , i ¢n t A:l cry on <br /> 77 o m <br /> S S. gr WaS awolro 04 _ l 'n -f <br /> QAd h ct d I i n <br /> f i. Alej S <br /> 0 5 ' '5 QI <br /> M i A M h e n Coil 4ac f. <br /> Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature <br /> Name: Hand Sink: F Chlorine: ppm eat: 'F <br /> Exp. Date: \ Warewashing Sink: °F Dual.Amm.: ppm ther: `F <br /> Received By/Title: <br /> EH Specialist: - Phone: <br /> ime in: Time Out: . Page of <br /> �i <br /> EHD 16-24 (2-pg) 413113 FOOD PROGRAM OR CONTINUATION <br />