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t <br /> SAN JOAQUIN COUNTO <br /> q ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209)468-3420 Fax.(209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: r7ood Le. Date: 0Yr ZZ— <br /> Address: / .S /' City: Q C Zip Code: <br /> Owner/Operator, <br /> IN C Telephone: -3 <br /> Program Element: Program Record: C� Inspection Type. <br /> J I <br /> S13180 Posted KYes ❑ No Permit Posted )Yes ❑ No Re-Inspection on or After: <br /> OBSERVATIONS RF3Er-CTIVE ACTtDNS " <br /> f �. _te <br /> i <br /> VI-0 etS � G®�riPc <br /> .. �i <br /> °s <br /> - <br /> r,,.)a. � r �K �i'>%�z.P-res �=(ao � �✓C/� / r� - i <br /> m f u� �,es'! -�Ca s��!� S d �l�l siyi/c t o P./=[. C/ ' <br /> Myr, f- F loo r bz to u> A t;01— Vr a <br /> o s'11`sS a rloevr <br /> '� lteinlLocation�" "� ;T'ern erattue �. Itemlt,.ncat�on Tern ratur� �°r ' Item/Lacat�on�� � Temperatuf�:,' <br /> _ Pe <br /> Food Safei yerWicxtion �` aCl[ i HaL W_ afaretnperature Warewasttirtig _ <br /> Name: SQ D- Hand Sink. o f Chlorine: ppm Heat. aF <br /> �H " f <br /> Exp.Date: arevrashing Sink: i of Ouat.Amm.: ppm Other. of <br /> Received By I Title: } <br /> EH Specialist: , Phone:�] <br /> Time in: 3� ;1 Time Out: Page of <br /> EHC 16-24 (21d pg) 11!2109 F000 PROGRAM OIR CONTINUATION <br /> r <br />