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" SAN JOAQUIN COUP <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.s*gov.org/ehd <br /> �IFoaa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: I„e- S c Co-r} Date: <br /> Address: L4 L LA) •Fve m6 rt-Ir— City: �+D ej(_-�D Zip Code: <br /> Owner/Operator: OV L-k��l` O n 3 Telephone: C/Lq^jq j <br /> D O <br /> Program Element: Program Record: P� 0 s 2� L Inspection Type: ; <br /> 8180 Posted Yes ❑ Rermit Posted F Yes ❑ 1 Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> It L Gahan Temperature Item 1 Location <br /> A,"' Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: Warewas -Sink: of uat.Amm.: ppmOther: of <br /> Received By/Title: <br /> EH Specialist: aM /_ _ 1_ 1 Phone: 81`� <br /> Time in: �, 5 Time Out: O Page tof <br /> EHD 16-24(2r,'pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />