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A°ur" SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT ��JJJ r J <br /> - = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> :P Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.siaoy.oralehd <br /> 4trFpRia <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: r --; k I Date: X -�YZ � <br /> Address: trZ t �O -� City: Zip code: <br /> Owner/Operator: Y^f Telephone: <br /> Program Element: Program Record: b-Z�3 Inspection Type: <br /> SB180 Posted ❑Yes ❑ Rermit Posted ❑Yes ❑I Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Co 'A <br /> (ter- <br /> . <br /> _ 1 S <br /> Item/Location "Temperature. Item F Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date Warewashing Sink: of Quat.Amm.: ppm Other: o <br /> Received By 1 Title: ST_L_ <br /> EH Specialist: cf�r P one: "b(3_03.2 <br /> ime in: 1 - Time out: ` 1 }S Paglz <br /> fd <br /> EHD 16-24 (2"pg) 4013 FOOD PROGRAM OIR CONTINUATION <br />