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SAN JOAQUIN COL l <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • c... _ �P• Telephone:(209) 468-3420 Fax: (209) 464-0138 Web:www.segov.org/ehd <br /> �CjFORa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: OOJ 07cDate: 61-23-13 <br /> Address: f71 -3 /v_ V F-t _Dor City: S Zip Code: <br /> Owner/Operator: r 12 rfC-1 '9 PK Telephone: 4465-52-2-Z <br /> T5-5Z.ZZ <br /> Program Element: I t� Plrogram Rec 2S• <br /> d: PL) .Zz I Inspection Type: <br /> SB180 Posted Kyes No Permit Posted ?Yes No Re-Inspection on or After: ►Z����� <br /> Lv a-k no o r1 _ �5 12.Z_ <br /> r Yq.W c!3 1"x"'1 LL I La_c4crs hey-7d C Yo <br /> LA <br /> Ft .0 40,A-e- nt k-� too A P-C4 '0 'S 10 r-e- 71 <br /> A.a' <br /> r j e- i Yn c>t. e r, re <br /> ,,7 bu c.e <br /> r rye a w5ofn►4wr r5 q n q! <br /> --'' `` I> o�' o '7 <br /> r! wY W a h V-e7,Py <br /> Ye -1(0Lh C r <br /> ./ lr5 ho4 WQ. Gi/7 Rep t4 <br /> /-.7:D "Y-S <br /> " <br /> -1s C.P <br /> Pyo <br /> Si vWLs it wrs <br /> t145 4 &-r 40'0 r L­� C L4VS).0 as <br /> a. -b-, <br /> Item/Location Temperature Item/LocationTemperature <br /> - -- — —�- u <br /> Food Safety Certification Facility Hot Water TemperatureWarewashing <br /> Name: Hand Sink: 'F Chlorine: ppm Heat of <br /> Exp.Date: Warewg Lin Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: f Time Out: . 1 Page3of <br /> EHD 16-24 (2nd pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />