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aPa41" + SAN JOAQUIN COUNT* <br /> y� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ,•.. ;a Telephone:(209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.orCl/ehd <br /> C]pd'j{i' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: w� L' ' J Date: )-7/,3 <br /> Address: ,� City: Zip Code: <br /> Owner/Operator. Telephone: '3�-1el ILI <br /> Program Element: Program Record: /� Inspection Type: ` <br /> lJ i <br /> B180 Posted ❑Yes ❑ Rermit Posted ❑Yes ❑1 Re-Inspection on or After: <br /> 5 SERVATIONS AND CORRECTIVE ACTIONS <br /> Ut h � <br /> 0-1A 9wi-kc, a ( U16z .kvk h od <br /> - nww <br /> Temperate' ltemlLocation ° <br /> its <br /> Food Safety Certification 'Facility Hot.Water Temperature Warewashing' <br /> - — .._._ mt.. <br /> Name: Hand Sink: eF (Chlorine: PPM Heat F <br /> I <br /> Exp.Date: arewashing Sink: -F Quat.Amm.: PPm_Other -_- ,F <br /> Received By/Title <br /> i <br /> H Specialist: Phone: <br /> ime in: ( Time Out: Page-of <br /> END 16-24 (2n°pg) 4/3/13 FOOD PROGRAM OIR CONTINl1ATION <br />