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oagulN c SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �q•..,s �•.a;P Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.s'gov.org/ehd <br /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: t' Date: <br /> Address: te) SL &d City: Zip Code: -f J <br /> Owner/Operator: �LIAi1P v Ta re Telephone: _ <br /> Program Element: Program Record: �n �� i/ 6 Inspection Type: va <br /> SB180 Posted Yes E9Permit Posted No "1 Re-Inspection on or After: <br /> BSERVATIONS AND CORRECTIVE ACTIONS <br /> 23 <br /> 0 cS► Vb� <br /> %za- la 14 3rCnVA- <br /> I� <br /> -1 C S <br /> f CUM AhuLk", AjA <br /> • � 1. <br /> Food Safety Cert•fication Facility Hot Water Temperature Warew <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: 1W _ <br /> Time in: Time Out: Page of <br /> EHD 16-24 (2°1'pg) 413/13 FOOD PROGRAM OIR CONTINUATION <br />