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SAN JOAQUIN COUN" ' <br /> m. ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> •. ;� Telephone: (209) 468-3420 Fax:(209)484-0138 Web:www,siclov.ora/ehd f <br /> �IFUR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: a qljPA,ia 0 . Date: d <br /> Address: City: / G� Zip Code: <br /> Owner/Operator': d� Telephone: � <br /> Program Element: Program R cord: / D Inspection Type: .f� _�•�5 e�/� <br /> 8180 Posted es ❑ No Permit Posted Yes ❑ No (� Re-Inspection on or After:lJ�c caT <br /> OBSERVATIONS.AND CORRECTIVE ACTIONS <br /> 05� <br /> F <br /> i <br /> FIAO e Ap law <br /> _S GLea n <br /> r ert} ui" `ate ,e G u� c�rfl�e <br /> T <br /> Item/Location Temperature. Item I kocatian Temperature ..Item/Location Temperature_atio_ � • <br /> Food Saf ty Certification _ Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of C lorine: PPM Heat: of <br /> Exp.Date: 3 D� arewashing Sink: of Ouat.Amm.: PPM Other: aF <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> r <br /> ime in: Time Out: Page of , <br /> EHD 16-24 {2nd pg) 11009 FOOD PROGRAM OIR CONTINUATION <br /> f <br /> t <br /> J <br />