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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> �q., a ;P• Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjcgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: S — H Date: /U-v,n k n �u n <br /> ddress: 3 I �'I- S City: r N c Zip Code: 193,76 <br /> Owner/Operator: T U S o Telephone: <br /> Program Element: I O I Program Record: S r OU 4o Inspection Type: F n a <br /> SBI 80 Posted ❑Yes ❑ No Permit Posted ❑Yes ❑ No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> V-C)1 .0^5 Correclede Xc <br /> –7 <br /> I rGto I t Gr Q S n <br /> rJrrec <br /> �GC; I; a3St <br /> Item/Location Temperature Item!Location Temperature Item 1 Location Temperature <br /> r,-ctt <br /> fF- <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: 20 of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: f <br /> EH Specialist: Phone: <br /> Time in: S Time Out: I . Page <br /> of <br /> EHD 16-24 (2n'pg) 11/2/09 FOOD PROGRAM OIR CONTINUATION <br />