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SAN JOAQUIN COUNTY <br /> p .. <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: N -1 - :i,? — Date: _ '� cJ _ -z <br /> Address: 2 City: Zip Code: 3 <br /> OwnerlOperator: Telephone: <br /> Program Element: 1 Program Record: \ 1 ` 3 Inspection Type: <br /> B180 Posted ❑Yes ❑ Rermit Posted ❑Yes ❑1 Re-Inspection on or After: 1 V� <br /> s a OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Ye-,-- G\ fA - h <br /> ON\ cJlcs - L1 l`JO <br /> Item I Location Temperature <br /> e- ' ,)�4 <br /> Food Safety Certification Facility Hot Water <br /> 42�ature _ VYarewashing i <br /> Name: Hand Sink: of hlorine: ppm Heat: F <br /> Exp. Date: Warewashing Sink: (� ^ of uat.Amm.: ppm Other. F <br /> Received By/Title:1� S\ ` <br /> EH Specialist: V , Phone: <br /> 1-4 <br /> 1l l^ IQ) O <br /> Time in: n ; Time Out: � �7 'V� Page ,of <br /> EHD 16-24(2o'pg) 4/3113 L FOOD PROGRAM OIR CONTINUATION <br />