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SAN JOAOUIN COU f <br /> �o. .eoc <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • cq.. _ �P• Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.slgov.orq/ehd <br /> cp ro rnei <br /> FOOD PROGRAM OFFICIAL INSPECTION PORf*p"e" <br /> Name of Facility: ` y. r Date: _ <br /> Address: Vo u f Fre m on->< 64—, City' C4_01� Zip Code: 5 '2-0-3 <br /> Owner/Operator: --CSS S Telephone: ! q Y_/q/O <br /> Program Element: i(_9 o Program Record: Q C.) 62-00 Ll g Inspection Type: cF2p� -i-i h <br /> SB180 Posted9(,Yes i No Permit Posted Yes No Re-Inspection on or After: <br /> � a a OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 1'W ,O 0 <br /> O YO -f-i0nS <br /> Item/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: -kye2rV Hand Sink: °F Chlorine: ppm Heat: 'F <br /> Exp.Date: / arewashing Sink: 'F Quat.Amm.: ppm Other: eF <br /> Received By/Title: <br /> EH Specialist: / Phone: �S3—��� <br /> �t 4412 <br /> Time in: Time Out: Page of <br /> EHD 16-24 (2^d pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />