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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT' <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.s9gov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: <br /> F" Date: <br /> 4ddress., City: Zip Code: <br /> / - <br /> Owner/Operator; <br /> Telephone: <br /> Program Element: /( Program Record: Inspection Type:e- /I (W S. 4 ,? '2> - <br /> LE31 80 Posted 'Yes D No Permit Posted P(Yes C No Re-inspection on or After: <br /> .r OBSERVATIONS AND ACTIONS <br /> 4 7w_ Wa ki-e% F-I. gc,r C_1,c ew a44 Cl9044 �_Z_e_ <br /> d.'V Ay- r/,P_za,�j <br /> UX&,jj a <br /> '44 el x4 <br /> 44 <br /> 25�7t .- r gw 10--e-n aff &d 4 j ZOO <br /> i. lsa alfxz /4e kx11 A!11.141 ,01 A&_I-cl <br /> a at <br /> 4 <br /> _)Ve4 A/ A)&d er, Ww"ar C/e,,z011'el <br /> fl"�l <br /> 7 <br /> 4 <br /> ltem`'/Locai667 t cn TPni <br /> Food Safe jWater Temperature gWarewashirig <br /> Name: Hand ppm <br /> Sink: F Chlorine: Heat: F <br /> i <br /> L!L ppm <br /> WareWashing Sink: -F Quat.Amm.: Other: <br /> rA A i <br /> Received By I Title: <br /> EH Special LA <br /> ist: Phone: <br /> Time in: Time Out: Page of <br /> END 16-24(2`1 Pg) 11009 FOOD PROGRAM OIR CONTINUATION <br /> P, <br />