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SAN JOAQUIN COUNT <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.slaov.orq/ehd <br /> 9CjFOtita <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Sq4nc� S Date: U-2 3 <br /> Address: Z 21 G City: Cr�l Zip Code: <br /> Owner/Operator: ��4r TTS Telephone: <br /> Program Element: Z ProgramRecord: O S Z -iInspection Type: 2Q�V918-0 <br /> Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> REM �• �.ti �, �e rte•• ,�< <br /> f <br /> izr!n!5 see- <br /> s f i h s Cove -6qL Ver-FA's �•�-c..�- s, <br /> s �� or — <br /> il� Gw c�s <br /> d i` l h -fit COU fo d C� <br /> Item/Location Temperature Item 1 Location Temperature <br /> 00t3 r 0M-(2P.. <br /> n ra�i7_11 - <br /> Flood Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: 12>hur5QVq Hand Sink: c7U o f Chlorine: ppm Heat: 'F <br /> Exp.Date: -2_ / �( arewashing Sink: (3 'F Quat.Amm.: 3 ppm Other: o f <br /> Received By/Title: <br /> EH Specialist: w t ► Phone: <br /> Time in: �W Time Out: Z: ^ Pag¢Zofj <br /> EHD 16-24 (2n1 pg) 4/3/13 V FOOD PROGRAM OIR CONTINUATION <br />