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,et "I" SAN JOAQUIN COUN <br /> c <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> n. <br /> - _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 �nSSo� " <br /> �... _.�;�P Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 61 CAC- C: _ I Date: _ _I <br /> Address: b--I 2 S P1, c A 12 t city: S C_ G Zip Code: SZ Q <br /> Owner/Operator: \')C 1�Z C e Telephone:a S - --7 -2c, 2 <br /> Program Element: �-Z� Program Record: \b(z) ,r1 Inspection Type: <br /> SB180 Posted es No Permit Poste Yes No �J Re-Inspection on or After: <br /> w.° OBSERIIATI©NS AND CORRECT.tV AG?� ?NS: . <br /> _ _...... __ ._ice <br /> Teperat <br /> ure fttM� _ <br /> m - <br /> 12- 1 <br /> A O 3`au <br /> FoodSafety Certification acil iy HatlNaterTemperature hg, Warewashing <br /> -. <br /> Name: s \ _ 11 Hand Sink: \1 of Chlorine: ppm Heat: ` �F <br /> Exp.Date: f � ar washing Sink: L of Cluat.Amm.: ppm Other: of <br /> Received By/Title: - <br /> EH Specialist: Phone: �b� O 33 <br /> Time in: Time Out: Page of <br /> � <br /> 1 \C-"foo <br /> EHD 16-24 (2^ pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />