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°p.°"�".. <br /> SAN JOAQUIN COU f <br /> ...... .CQ <br /> ITY <br /> a ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> a <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 64.. iP Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT ` <br /> Name of Facility: Date: <br /> Address: a(p 5 0 / City: Zip Code: <br /> ,'7 9�a�a <br /> Owner/Operator- <br /> ` Telephone: U <br /> :5 rJ 0 1 : ,3 <br /> Program Element: Program Record: 3 85 Inspection Type <br /> -k_ 7 <br /> FB <br /> 180 Posted Yes ❑ Rermit Posted Yes ❑ I Re-inspection on or After: <br /> �Dpo <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> W -i - --�—�) ireA,_ 7+0 1-2-0 <br /> D l,-e. r 6t, A -2 - <br /> L �tclt GI r-) <br /> Itemll-ocation Temperatur item t Locattort add; Temperature' <br /> 11111- 1 1 11 .. -. <br /> _ 7 c_ <br /> of o- L Act <br /> - <br /> vu�r' Airy <br /> IFY <br /> food Safety'Certification Facility Hot Water Temperature Warewashing <br /> ame Sink. <br /> NChlorine. PPM Heat: of <br /> � n.� r Hand io <br /> Exp.Date: arewashing Sink: of Quat. Amm.: m !Other: of <br /> 1 2_oa <br /> Received By/Title: <br /> EH Specialist. CA A Phone: <br /> Time in: Time Out: 17Lf5 Page <br /> EHD 16-24 (2-pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />