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1 0*pQu�" SAN JOAQUIN COUP <br /> Q` ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> o°�iFORa p Telephone:(209) 468-3420 Fax: (209) 464-0138 Web:www.slgov.orq/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: /"" ( a, ,.� C..c°;,U�__ Date: <br /> Address: 7, & f 7/�YYI /Z City: L /l Zip Code: <br /> Owner/Operator. _1 � w Telephone: <br /> Program Element: fU r,7) Program Record: �C l�(�� 7 q Inspection Type:: <br /> SB180 Posted Yes ❑ No Permit Posted Yes 7 No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> cay <br /> dv A <br /> •- )OW0✓ GIYVII 1/ r ��1�� J-!�t �t <br /> l)d S rcl�- (,� VZG?•f� u .� <br /> nyl 1 f-e L - <br /> - -I a cr/ j <br /> h lat e f <br /> r ��v qkl a a �p l <br /> alw <br /> l V PJB �27� <br /> < h aot sawhvd <br /> c of T ,W— 4V ,w.,_ _ <br /> hilp ! s javi It i <br /> fte /1 a t't, Temperature; „ teem l ocation ., Temperature <br /> .. a 3 _ x ��-- <br /> 1k MI , <br /> y az <br /> ;,v Facility Hot Water Temperature Warewa"s mg .- <br /> Name: 1 C' I" Hand Sink: o f Chlorine: ppm Heat: -F <br /> Exp.Date: 1' J j arewashing Sink: Z of uat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: _ <br /> Time in: �U Time Out: Page of <br /> EHD 16-24 (2nd pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />