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auiN <br /> SAN JOAQUIN COCtY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ca�Jkiiai�:r Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> [Ad7dress- <br /> 7r=1ement, <br /> ility: <br /> ne r> j'1 vt j 1 A 2 '� Date: -! 13 <br /> � Cit <br /> r C�.i n o0` y' O,}[ �ph Zip Code: L G <br /> tor: � O Telephone:1 60 Program Record: ep— 1734 <br /> C-OD p 3r7 + y Inspection Type: <br /> SBI80 Posted�Yes © No Permit Posted Yes 0 No m �ul't <br /> Re-Inspection on or After: <br /> y ;OBSERVATIONS AND CORRBCTIVE_P►CTIONS , .r <br /> U dm n vma�d o �-e 7 <br /> 3 a y'rT (a <br /> �C72o cA <br /> ►r Gt- Pr® d,,-t c_4- C Aq n <br /> E <br /> i <br /> -F 25 YU <br /> Iter// ocation _ ' Temperature; Y� Item I Location.. <br /> Temperature, <br /> Food Safety Certification. T Facility Hot Water Temperature1. Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: ,F <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By I Title: r , cle� <br /> EH Specialist: f / Phone: <br /> Time in: �Q 3J Time Out: Page of <br /> EHD 16-24 {2-pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />