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p..w°" ..�". <br /> SAN JOAQUIN COUN1 . <br /> O .C <br /> X ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-623 <br /> �;..•• �;;P Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.smgov.org/ehd <br /> L/FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: /x41 � Date: <br /> ddress: l r, rral /„l � City: Zip Code: <br /> Owner/Opera or:OPV �YUQ- w Telephone: c7 5a <br /> Program Element: , Program Record: Inspection Type: <br /> hi-80 <br /> Posted Yes ❑ PermitPosted Yes ❑I Re-Inspection on or After: <br /> .� OBSERVATIONS AND CORRECTIVE ACTIONS <br /> C, i ✓� �G� Lr � Gr1j' � �� . _ <br /> ►'t �1 —C G1'.C�LJ �L <br /> a� <br /> V <br /> vhdcbVA rwL <br /> AVF <br /> --...._ L.Q, P►�woCu�" /l,Q,vti�Pc� tvvv <br /> e�w�n <br /> ��,� �•,,' _cam. �0 - �"/ b-i,;;,.,, o�-; , ��F �,� F S <br /> ' Item/Location _„; u,fl ,•f„ �etnperature �..� Item!Location -. : _ Temperature <br /> Vw I'l a L-14�k <br /> r t,iJ . . , /�- �.-� , r ( 1 / - G ti, L 3 <br /> — -- —. - - <br /> ood Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of 'Chlorine: ppm Heat: of <br /> Exp.Date: � arewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title. <br /> EH Specialist: Phone: <br /> Time in: ( Time Out: 1 Page of <br /> EHD 16-24 (2ndpg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />