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"aur" SAN JOAQUIN COU Y <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: _ Y-+ Date: )-2 9 ,/ <br /> Address: t,+1-)•a c' •� S City: ` Zip Code: q,5 <br /> 2v <br /> Owner/Operator: J Telephone: <br /> eISa- d, 25 <br /> Program Element: I Program Record: I Inspection Type: i <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS,AND CORRECTIVE ACTIONS <br /> 6 ) (z h 5........... <br /> ............._ .... <br /> 49 <br /> of <br /> Vx <br /> + o% �- <br /> 136c oY� hf 00 Ze r . <br /> .n,oY e. ir-n <br /> •" F #@1f11LdOC@l11 11 k em <br /> 'It@mLocationPera__UT£mperatu(e <br /> ~ <br /> r l�C�.xJKA✓1 u /�' / t " <br /> b4 % ,tO F r, S - o <br /> x.. <br /> 100 oaf@ Ci£rtlflCatiGA rsjTy <br /> -M-Ta" <br /> _ CII Hot VNaier Iem rature z. ;3r@YVaShing i a <br /> __ .r... •7 _ _.... _ , <br /> Name: Hand Sink- I 0 'F Chlorine: ppm Heat: nF <br /> Exp.Date: a ashing Sink:Yri 1 of Quat.Amm.: vZ0 ppm Other: of <br /> Received By/Title: <br /> EH Specialist: ( Phone- <br /> . <br /> -- ---..........._.... <br /> Time in: ' a Time Out: Page. of . <br /> EHD 16-24(2nd pg) 4/311133 FOOD PROGRAM OIR CONTINUATION <br />