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SAN JOAQUIN COUN14TO <br /> ?a ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • c... . ;6 Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.s ov.orcl/ehd <br /> 5�%FORS <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: S Date: <br /> ddress: 1—tVb RAS City: Zip Code: <br /> Owner/Operator:: Il Telephone: <br /> Program Element: �'J Program Record: LI 2-3 Inspection Type: <br /> SBI80 Posted Nes 11 No Permit Posted es ❑ No v T Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> tji 1 <br /> 7 a h v-e �16 d <br /> 540 ,CIO - - <br /> _% - V - <br /> Item/Location Temperature Item/Location Temperature Item I Location Temperature <br /> V G <br /> 1-4-- zs /3�F <br /> A) lG oX It/D <br /> Fvo vSar S <br /> 0 - W k &' /e <br /> `-Food Safety Certification Facility Hot;Water Temperature Warewashing <br /> Name: t- Hand Sink: OS 'F Chlorine: PPM Heat: 'F <br /> Exp.Date: / 14r arewashing Sink: 2 eF Quat.Amm. �P then. 'F <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: Time Out: Page of <br /> FOOD PROGRAM OIR CONTINUATION <br /> EHD 16-24(2o0 pg) 419/12 <br />