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SAN JOAQUIN COUNTY <br /> Z. ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> .. ;P.. Telephone:(209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> QL�FORI� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: c � . n Date: i2-1 <br /> Address: �. � W� City: Zip Code: C �� <br /> Owner/Operator: Telephone: <br /> Program Element: i �; Program Record: r Re 0G�_ZG �7 (��(j(p2L� Inspection Type: <br /> SB180 Posted Yes l No Permit Posted Yes No Re-Inspection on or After: V <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> CSL>,htri� IUnS car CA <br /> Fvr U C�'W UvJ kA"- . + COICAA <br /> -V- r-uU1 Cu nc� �j ) t- CA vGUd <br /> C,q) -pC - e COMAOs(C) c-4+- 2 - <br /> 'rCAC, n C <br /> Item/Location Temperature Item/Location Temperature <br /> Food 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: �F <br /> Received By/Title: " <br /> EH Specialist: Phone: G�- <br /> Time in: fr ; Time Out: '"., <br /> EHD 16-24 (2^d pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />