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,oP4�•",..goy SAN JOAQUIN COUNTY <br /> a ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> r... p Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> 9A%FORS <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: evzo _ 120 n Sc --v Date: b -2- <br /> Address: <br /> Address: /s City: Zip Code: <br /> Owner/Operator: S �! Telephone: <br /> Program Element: ov f Program Record: ® /_ /f7 InspectionType:CO� <br /> SB180 Posted Ves , No Permit Posted Yes L No i/ Re-Inspection on or Atter. <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> v n a e S e rz 50 ,-r - -- <br /> At S ca s> S <br /> scGi t,ja a - <br /> ® 6 va <br /> 41, fLP_S S <br /> itemn_ocation Tempemature Item/Location Temperature - it--m Cion j emperatu_ <br /> Food Safety Certification - Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: eF Chlorine: ppm Heat: F <br /> Exp.Date: W <br /> arewashing Sink: eF Ouat.Amm.: ppm Other: o f <br /> Received By/Title: <br /> EH Specialist: if Phone: <br /> Ime in-: Time Out: / D� Page of <br /> EHD16-24 (2-pg) 1IM09 FOOD PROGRAM OIR CONTINUATION <br />