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SAN JOAQUIN COUI\ <br /> � •.OG <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.siQov.orq/ehd <br /> �/PORN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: om G1` a Date: b�ICS ¢. <br /> Address: 20 <br /> r PUrad G City: S.}ooprw T) Zip Code: 5 � <br /> Owner/Operator: }t„�S,O 0h��{^'JH l r ASCO CLOCWCA Iv Telephone: <br /> Program Element: j1'�(0 (0 Program Record: t Q Inspection Type: <br /> SB180 Posted es l No v' Permit Posted es No Re-Inspection on or After: I uG <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> D (�bst(v�d 1'►n 5 eC�S i n �'�'r -- > ;�a c c.,.l �"�"� �/�r v;,�-:�s`;I 1�s�a�'��d <br /> 4 v+ CN �-orh i °� M c- -i,. U -- <br /> Item/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: PPM Heat: of <br /> Exp. Date: Warewashing Sink: of Ouat.Amm.: PPM Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: Time Out: Page Y 3 <br /> EHD 16-24 (2°a pg) 4/3,113 FOOD PROGRAM OIR CONTINUATION <br />