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°`��" SAN JOAQUIN CO fY <br /> '° 0 <br /> p.. ....... <br /> � •.oG <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.s4gov.org/ehd <br /> ��i=oaa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �' ` �/ Date: 1y <br /> Address: 5 7.,2 City: Zip Code: <br /> Owner/Operator: RI ho/ h Telephone: <br /> Program Element: y lS''/ Program Record: ?� n Inspection Type: <br /> SB180 Poste Yes No Permit Posted Yes No Y Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 4 . Ivl&7 y_t" �'lCcvI�CGGICc�� <br /> G� v l`o o21-C6— A <br /> Item/Location Temperature Item/Location Temperature <br /> v� -( <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> --.... .---- -- _ __... __.__..__ __.._.— <br /> Name: Hand Sink: 1 f � o f Chlorine: ppm Heat: o f <br /> Exp.Date: arewashing Sink: J I �F Quat. Am <br /> ppm Other: of <br /> r <br /> Received By/Title: <br /> EH Specialist: Phone: ' <br /> Time in: ( Time Out: 242 Pagerf Z' <br /> .HD 16-24 (2nd pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />