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SAN JOAQUIN COUNT' <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.slgov.org/ehd <br /> L�FOfRI� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: i_zei f .0 6�I " Date: r& 7T& <br /> Address: / City: Zip Code: <br /> Owner/Operator: j;V7 k Telephone: <br /> Program Element: r _ Program Record: S' C' Inspection Type: <br /> B180 Poste Yes No Permit Posted * es No Re-Inspection on or After: <br /> OBS RVATIO S AND CORRECT VE ACTIONS <br /> Item/Location Temperature item/Location Temperature Item J Location Temperature <br /> f/1 GLZZ53I/ <br /> ,-- <br /> Food Safety Certification — Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: /e,3 of Chlorine: Ppm Heat: of <br /> Exp.Date: Warewashing Sink: °F Ouat. Amm.: Ppm Other: -F <br /> Received By/Title:' <br /> EH Specialist: vV �p Phone: <br /> i <br /> Time in: Time Out: Page Zf <br /> tK <br /> 71 <br /> EHD 16-24 (2^d pg) 4/9/12 FOOD PROGRAM OIR CONTINUATION <br />