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SAN JOAQUIN COUN � 1 <br /> .Za ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.si4ov.orq/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: { cc ( Date: .2 . 1. / <br /> Address: ( 6 - ci 1 G City. h Zip Code: 9S 330 <br /> � rc <br /> Owner/Operator: Telephone: r <br /> Program Element: Program Record: Inspection Type: <br /> SB180 Posted Yes No Permit Posted (Yes) No Re-Inspection on or After: <br /> OBSERVATIONS•AND CORRECTIVE ACTIONS <br /> Ctof ( Wed . ReOlc cc in •z WeeXS <br /> --�".- <br /> , . 1 - _ � /1 tragi Zer <br /> �t)ee Ks. <br /> �o ; Id reach <br /> 7 2 <br /> Item/Locati n Temperature Item/Location Temperature <br /> —- - -------— ---.— —_ :: -- --- ----.. ......--- -- - ---- <br /> �IJCItfy)�f' <br /> wormer Per7CA -; j <br /> Food Safety Certification Facility Hot water,Temperature warewashing <br /> Name: Vt Hand Sink: of Chlorine: A` m Heat: ; `F <br /> t C of L run a _ '64" , Pp 4m J-..eit- i <br /> xp.DateIL 5 <br /> E : z 7- D arewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received Ely/Title: D <br /> EH Specialist: <br /> Phone: 46d�--,16d__ <br /> ime in: f/�, v Time Out: l; Page.?of <br /> EHD 16-24 (2^ pg) 4/3113 oCC 1 FOOD PROGRAM OIR CONTINUATION <br />