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°"'" SAN JOAQUIN COUN'k <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • ��. .�;�P• Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> �ijib R <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: e ILLS Date: AS <br /> Address: 14 l �A (D U -'t - Lo\'(1 e City: S L�� 1 _ Zip Code: -Z 12 <br /> Owner/Operator: SJ C 010 9�--C1 Q t_. 1 �Y Telephone: t4 bQ _q I V Y <br /> U <br /> Program Element: 1o2 Z Program Record: `S3 2-Zb Inspection Type:?T9M2ADs1Ej <br /> B180 Posted )<Yes ❑ Permit Posted Yes ❑I Re-Inspection on or After: L <br /> OBSERVATIONS AND CORRECTIVE ACTIONS aI'M W , M, , <br /> - cl e Irk <br /> ri C " QA444 IM I I : .S OCLkkl <br /> Item/Location Temperature Item I Location Temperature <br /> ater Temperature Warewashitt <br /> Name: Hand Sink: / ,l F Chlorine: ppm Heat. of <br /> Exp.Date: arewashing Sink: of uat.Arm.: ppm Other: of <br /> Received By/Title2 <br /> 2 4 <br /> H Specialist: Phone: �b 2 <br /> Time in: (� O Time Out: "I r^J Page-2f <br /> "I J <br /> EHD 16-24 (21d pg) 413/13 FOOD PROGRAM OR CONTINUATION <br />