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SAN JOAQUIN COUNTY <br /> 2 z ENVIRONMENTAL HEALTH DEPARTMENT <br /> a: a <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.or /q ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: r �.` - Date: jz I <br /> Address: u)d Y n City: S-'-b� t Zip Code: ta? G� <br /> 2 6 <br /> Owner/Operator: �V�1J C• vl' Telephone: "I <br /> Program Element: (011512 Program Record: b �-fi6 Inspection T e <br /> SB180 Posted Yes No Permit Poste r No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> _ .._..... ......._..._.........._-- -- — --------.......----— <br /> __. CuY" i S not VacpO on fb D. D F f i 00 --- -- _. --__ <br /> smlt _� �_u ii ate spm- M- <br /> -v� e <br /> COP, Oux _ter c <br /> L'� <br /> ............... <br /> U t s I <br /> ItemlLocation i Temperature Item/Location I Temperature <br /> ri CUmel�-- Woi tro r) L�p <br /> S CIM V71, t ,G <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> _........ . <br /> Name: 1 .. 11�u i-� Hand Sink: i G, F Chlorine: ppm Neat: -F <br /> _ <br /> Exp.Date: 2 Zr I arewashing Sink: Z�; o f Ouat.Amm v��f I ppm Other: o f <br /> Received By/Title: �9 T <br /> EH Specialist: f \ Phone: (� > <br /> Time in: f Time Out: , Page f -2- <br /> E:HD <br /> 2- <br /> E:HD 16-24 (2°°pg) 4!3!13 FOOD PROGRAM OIR CONTINUATION <br />