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>ana� Ac SAN JOAQUIN COON-J <br /> ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> :< <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.siaov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: U'Al U b <br /> Date: <br /> Address: �� S �t�r�el�lPS AveYP City: /�/G Zip Code: 9S3Je <br /> caner/Operator: / '�p J <br /> Telephone: q 13. 4Uc,9 <br /> _ <br /> G <br /> Program Element , Program Record: 6W 36 Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes '.I No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Item/Location ... Temperature Item!Location,_: <br /> oPMafety Certification Facility Ho , ,- a'. Warewashi <br /> __- -- _. <br /> W Hand Sink: `F Chlorine: PPm Heat: `z7 aF <br /> Exp.Date: - arewashing Sink: eF uat.Amm.: 7L PPm Other: / oP <br /> I <br /> eceived By/Title: —4,H Specialist: _ Phone: <br /> ime in: Time Out: '76 Page, Of/ <br /> Q f <br /> EHD 16-24 (2-1)9) 4013 FOOD PROGRAM OIR CONTINUATION <br />