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SAN JOAQUIN COUNTY <br /> 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 /> L%FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: TO Date: <br /> Address: 31S Z r' J 4 ity: rc, c Zip Code: <br /> Owner/Operator: Telephone: <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 /> C ,; tic. 1% o ,,,j <br /> 170`F 77'C <br /> 11 10 Q <br /> .�A . r U�. c`c 'f' <br /> .— <br /> G151A l OO a l 91 (2.ycc,) � <br /> r" e <br /> rU'Isr� <br /> Name: C C, r J „� Hand Sink: �� of Lhl.orine: ppmHeat: of <br /> Exp.Date: arewashing Sink: aFt.Amm.: �... ppm Other. OF <br /> Received By/Title: <br /> EH Specialist: Phone: /16�.31b y <br /> Time in: f > ) Time Out: 7 Page,of <br /> EHD 16-24 (21'pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />