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SAN JOAQUIN COUN`w <br /> r` ?. ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 4ciFdti+;a. Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: , / e, y <br /> Address: � N 1 A � <br /> City: Tra Zip Code: 9 S O <br /> Owner/Operator: J Telephone: <br /> Program Element: 1 L) Program Record: SE QC 7 tt;.,2 3 Inspection Type: <br /> 8180 Posted Yes /No Permit Posted Yes No Re-Inspection on or After: I <br /> 7pr .51ta>)�tr r• b w / r •j rinC4 fir QaLi ler. er.etJ ,1 <br /> SP lo5h Nard n bath <br /> red S • A V Cc freir le- tel;n "1.4". <br /> S e A 1 ss 40 (A)all <br /> a, • de !o c d M 0 n a p er Cn a:l; cc le ; - 60 dolys, <br /> IPo�r: tctl Kin i ✓tWee If <br /> 05 Sem IS O <br /> v ZS R'w W/N S -! <br /> apirm LVA per C on T rot 40r, <br /> Uerror •1 0AC tr a <br /> r1. 77 _-7e 71-/t yf +` <br /> plk l <br /> - F Food Safety Certification Facility Hot Water Temperature Wfa eviashi „ "' <br /> Name: Hand Sink: lo" l 'F Chlorine: PPM Heat: =F <br /> _ _ <br /> Exp.Date: Warewashing Sink: / e "F Ouat.Amm.: PPM Other. ..F <br /> Received By/Tit <br /> EH Specialist Phone: J <br /> rime in: 3. 3 <br /> Time Out: Page Pi <br /> EHD 1624 (2^ pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />