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°"'" SAN JOAQUIN COLIN i Y <br /> ).'�'•AG <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> _-_ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �... ;P Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.stgov.org/ehd <br /> 4<<FO"Ra <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: , L46� - C Date: zo y <br /> Address: pi CS City: / �J Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: L , ec ; n T InspTek <br /> SB180 Posted ❑Yes 0 No Permit Posted Yes �_ No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> `TI1A v 6kkL <br /> L <br /> .� <br /> Vl Wo /11 <br /> k <br /> 1 � <br /> r1vt U 0 <br /> P- <br /> i� <br /> I vt <br /> Item/Location Temperature Item/Location Temperature Item/Location Temperature <br /> � <br /> _ ZZt y S. E <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: t of Chlorine: ppm Heat: r . of <br /> Exp.Date: ti A Warewashing Si k: of Quat.Amm.: ppm Other: OF <br /> Received By/Title: �U p�R 1�U SIV DLcN7' <br /> EH Specialist: Phone: <br /> Time in: Time Out: t Page`of <br /> EHD 16-24 (21d pg) 4,19112 FOOD PROGRAM OIR CONTINUATION <br />