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P4"'" CM SAN JOAQUIN COUI <br /> �O. . OG <br /> '+ ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> �IFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: GO W d WL Date: <br /> ,I <br /> Address: LI-1,51 a ci .G City: +0,9 Zip Code: 13 152-0 <br /> �0 <br /> Owner/Operator: 1;N IV h WLn Zn L Telephone: Ll'7 8 _(135 <br /> Program Element: rogram Reco R D c5 a.?9 7 3 Inspection Type: r7 <br /> VB180 Posted ' Yes ❑ Rermit Posted Yes ❑ 1 Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE`ACTIONS <br /> al <br /> �.. � <br /> Item 1 Location Temperature <br /> ,;. J Facility Hot Water Tempest anuatkmm.. <br /> Warewashing <br /> Name: Hand Sink: of Heat: °F <br /> r <br /> Exp.Date: arewashin Sink: of ppm Other: of <br /> Received By/Title: �l „�j. i � a not f cl <br /> EH Specialist: ` JPhone: <br /> �1�5'� <br /> Time in: Time Out: , ��� Page of <br /> EHD 16.24 (2"'pg) 413/13 FOOD PROGRAM OR CONTINUATION <br />