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SAN JOAOUIN COUN-rY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax: (209) 464-0138 Web:www.si+aov.or /q ehd <br /> LIFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: L Date: 2 <br /> Address: City: Zip Code: <br /> Owner/Operator: GVH' Telephone: <br /> Program Element: I /� Program Record: ^ 7 Inspection Type: <br /> [6180 Posted Yes ( No Permit Posted Yes No Re-Inspection on or After: ' a l r <br /> OBSERVATIONS_AND CORRECTIVE ACTIONS d►' <br /> 4 { 1 __.._I -n'(r� ,'I.IZG ��( L f'% �� C Ir U- -..tip —. <br /> 6I` <br /> --- - <br /> P Y14 <br /> U t�i2 rwt ~i- fir, G( <br /> ck2pu <br /> .- cc �u <br /> 44 -ed <br /> 1 <br /> _.........0 ' --- <br /> J <br /> Item/Location -Temperature V Item/Location j Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: 'F Chlorine ppm Heat: `F <br /> Exp.Date: Warewashing Sink: of Quat. Amm.: ppm Other: 'F <br /> Received By/Title: <br /> EH Specialist: L Phone: <br /> Time in: Time Out: Pagf <br /> EHD 16-24 (2n°pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />