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SAN JOAQUIN COUNTY' <br /> r. ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> P: .1 <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 9�iF6.Rij <br /> a Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: � rs Date: _ - 72.. <br /> Address: 2, S Clty: zip Code: ct 52y2 <br /> caner/Operator: Telephone: D Cl9 S- <br /> Program Element: ,b,.5 Program Record: t bO Inspection Type: ;J _ ,\ <br /> SB180 Posted SeYes ❑ No Permit Posted es C No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 127= 2 <br /> 7(\ ' <br /> ('j t o ham .h� v�f9Q 0- t0 <br /> 2 <br /> ve <br /> mort—tern/Location ation Temperature Item/Loc '' Temp rature <br /> i <br /> 3sF <br /> Food Safety Certification <br /> IF Facility Hot Water Temperate.., Warewashing <br /> Name: Hand Sink: .�I of hlorine: ppm Heat: "F <br /> Exp.babe: arewashing Sink: of uat.Amm.: ppm ther: 'F <br /> Received By/Title: L <br /> EH Specialist: - Phone: fo <br /> Time in: 12 • 2 Time Out: 1 • Page of <br /> EHD 1&24 (2-pg) 4/9/12 FOOD PROGRAM OIR CONTINUATION <br />