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oi�pgqy.. SAN JOAQUIN COUN <br /> Z� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.slgov.org/ehd <br /> �IFpR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Tf 00 5 Cs r� y — ',_" Date: ` <br /> Address: �� G r>1; city: , r �� Zip Code: 17 S3 C ` <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: p G A ,^c <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> Item/Location j Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hof Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp. Date: WecowashiagSink: Zo of Ouat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: /e.3� <br /> Time in: Time Out: I: 3 3 Page of <br /> EHD 16-24 (2^a pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />