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P4�1k. SAN JOAQUIN COUNTY <br /> a` ?� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Cc;� Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www,s' ov.or /ehd <br /> Lrpour` <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Q Date: �. <br /> Address; <br /> O <br /> City: Zip Code: <br /> Owner/Operator: phone'' v - <br /> Program Element: IV Program Record: /607 I&pection Type: <br /> kokm <br /> S8180 Posted es ❑ No Permit Posted as ❑ No Re-inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> f M.C.. <br /> Z ' rn a W <br /> 3 j <br /> R - <�• <br /> 4zu <br /> �.w. .. . ��- s-. - <br /> Itemlt acatian " Temperature tltem,l LocaEian „, Temperature i�ltem l Location , . T 'Tiemperature.,; <br /> Food Safety Certification, T . Facility Hot Wa"ter Temra <br /> peture f Warewashmg m <br /> Name: Hand Sink: ZOO't— 'F Chlorine: ppm Heat: 'F <br /> Exp.Date: Warewashing Sink: of Quat.Am m.: ppm Other: OF <br /> I <br /> eceived By1 Title: <br /> H Specialist: Phone <br /> !me in: Time Out: �� ' -+to Pagof <br /> r G7� <br /> EHD 16-24 (2r'pg) 1 T12JO9 FOOD PROGRAM OIR CONTINUATION <br />