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Pa"'" SAN JOAQUIN COUP d <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> _- 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> cq<<FORa�P Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.orq/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: J Oh r) Ave' �� `,���,� . Date: IC� , �. <br /> Address: t 0 to '54 City: Zip Code: <br /> Owner/Operator: uAZ Telephone: x'33 -010v <br /> Program Element: '6 Z Program Record: I a I y Inspection Type: <br /> y� IiT <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Cl04 h 6 n the Cc", <br /> Con ,;Ave de.CIW 4}e,-; A9 OV4AZi .'ttl an 0/ C /a G„ :ho - <br /> Item/Location Temperature Item(Location Temperature <br /> ---- — --------------------------- --- -------- <br /> -- - <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: °F Chlorine: ppm Heat: of <br /> Exp. Date: Warewashing Sink: 'F Ouat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: 6 <br /> Time in: Time Out: U _ r Page of <br /> J <br /> EHD 16-24 (2na pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />