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SAN JOAQUIN COUNTY <br /> =`T ENVIRONMENTAL HEALTH 66ARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: {209)464-0138 Web:www.siaav-orglehd <br /> 4��FUtiZ� � - <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> ddress: E��-v� 6` �( City Zip Code: <br />` Ownerloperator: C✓W YkA <br /> Telephone: <br /> Program Element: Pro ra Record: Inspection Type: <br /> Ob p <br /> 15 58180 Pasted 0 Yes 11 Permit Posted ❑Yes ❑I Re-Inspection on or After: <br /> r§180 Pa <br /> QE3SER1ir #TfONS AND CORRECTWE;ACTIONS <br /> w. . <br /> t -44 <br /> f <br /> ti, .0 <br /> v- 1AIV4 "Qi V4 1 eZ <br /> A 0A y <br /> D <br /> V, , i�It,C vw2 otn Ad , <br /> �d <br /> aF r, <br /> k. ' { AIvqj <br /> Imo. <br /> ,4,. <br /> ILccatiorr Teriiperadtre: rte,i:1 Locati Temperature <br /> Food Ste►Cert cation.. Facility Hot Wa�.Unmperature Warewasfiing <br /> Name: Hand Sink: of Chlorine: ppmHeat:. °F <br /> Exp.Date: arewashing Sink: of Quat.Amm.: ppm Other; of <br /> Received By 1 Title <br /> EH Specialist: Phone: C f <br /> d <br /> ITime in: ; Time Out: Page of <br /> EHD 66-24 (211 pg) 413113 FOOD PROGRAM 017CONTINUATION <br /> I <br />