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SAN JOAQUIN COU t <br /> �+ ENVIRONMENTAL HEALTH DEPARTMENT <br /> X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> .., iP• Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.s*gov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: rj CA_ �. Date: k40 '6 <br /> Address: 5J2 City: Zip Code: 3 <br /> Owner/Operator: Telephone: <br /> Program Element: V02 Program Record: Inspection Type:IS <br /> 8180 Posted 0 Yes ❑ Permit Posted ❑Yes ❑I Re-inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Ckntv .k <br /> b l S <br /> o. <br /> �_2 C' N q- J I <br /> �1 <br /> tl ovation Temperature item t LocatEan ,s Temperature <br /> Food Safety Certification Facility Hot Water Temperaturetarewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of uat.Amm.: ppm Other: of <br /> Received By/Title: - <br /> EH Specialist: Phone: '-A b C 3 <br /> Time in: \2 2- Time Out: J� Page?,of IR <br /> EHD 16-24 (2n°pg) 413/13 L7 FOOD PROGRAM OIR CONTINUATION <br />