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SAN JOAQUIN COUN' <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �q... �•.�;�P Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> �t�otiz <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: -4 Date:Date: �Z�` �. sv ` t- , <br /> Address: -�3 l City: Zip Code: <br /> Owner/Operator: ;9zr awq�e5 I- Telephone: L.,p .46 <br /> Program Element: 2 Program Record: S 2. 9S� Inspection Type: Y <br /> SB180 Posted es o Permit Poste Yes No Re-Inspection on or After: <br /> a <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> - ., <br /> -- — ...............................--- -.............. <br /> l ►„ 3_ <br /> ilk <br /> k tn . ra#tsre Item 1 Location <br /> d 3 <br /> JAW <br /> 4-6 <br /> Food Safety Certification Facility Hot Wates Temperature 31Vrewashing <br /> Name: G� r t Hand Sink: 03 �F Chlorine: ppm Heat: 'F <br /> Exp.Date: 1-7 <br /> l/ arewashing Sink: of Ouat.Amm.: ppm Other: of <br /> Received By/Title: n <br /> EH Specialist: /T Phone: <br /> Time in: I Time Out: Pagetf-L <br /> EHD 16-24 (2^ pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />