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°"'" SAN JOAQUIN COUN" <br /> y� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209) 464-0138 Web:vvww.si4ov.orq/ehd <br /> �/FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: UDate: Lr �- <br /> ddress: t iSit <br /> � [/� N City: Zip Code: <br /> Owner/Operator: V .�/ /` Telephone: <br /> Program Element: [�� Program Record: 0 � � �� Inspection Type:��' <br /> B180 Posted Yes 11Rermit Posted (� [es ❑1 Re-Inspection on or After: <br /> i <br /> zl 04- <br /> a v <br /> ..:..,rjDZVVM- <br /> Temperature <br /> (�&Ui 41�'Vv <br /> -�►. qF - <br /> Food Safety Certifi ation ' Facility Hot Water T mperat Warewashing <br /> Na,,. _c, Hand Sink: o Chlorine: Meat: o <br /> �. ✓�'l/� �G' � I l7vV �j� I ( ,i F PPM F <br /> Exp.Date: arewashing Sink: of uat.Amm.: /h^1 ppm Other: of <br /> Received By/T tle: Ifs <br /> EH Specialist: _ Phone: <br /> Time in: 11 1 I 1 Time Out: Page2ofZ <br /> EHD 16-24 (god pg) 4/3/13 ) _� FOOD PROGRAM OIR CONTINUATION <br />