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SAN JOAQUIN COUN1 . <br /> X ENVIRONMENTAL HEALTH DEPARTMENT <br /> N: .i <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> C`q.• �P Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.slgov.orq/ehd <br /> L�FOR� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: — 7✓.f 7 7 0 7 Date: <br /> Address: jtg City: Zip Code: <br /> : � <br /> Owner/OperatorP'-e v /`� Telephone: <br /> Program Element: C Program Record: /Yl� 2�t [,'� Inspection Type: <br /> . <br /> B180 Poste Yes No Permit Posted Yes t No '1 Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> I/ l1XIA10 av N i <br /> vvr u— �- n c><–i <br /> c fLa <br /> `–f ' rL�c Gfe oc r �Uw <br /> �- <br /> v af,( qktcikC1 14-7 <br /> c m 41 <br /> b <br /> � r .- <br /> tOc P, w <br /> Item/Location Temperature Item/Location Temperature Item!Locati n, Temperature <br /> J%.• t'" :,', C.t � it �" / c � w ' �� !` 1 � (�( �l.r Gfl / �, v t <br /> . j,a <br /> Food Safe Gertifii, k y Faci ity Hot Water Te ` eratureWarewashing <br /> __......_—......._. <br /> Name: / I O m / Hand Sink: o f Chlorine: ppm Heat: oIF <br /> Exp.Date: L/ /' ` arewashing Sink: 'IF Quat.Amm.: ppm Other. 'IF <br /> I— JokiL <br /> Received By/Title: (t yn <br /> EH Specialist: z (�^ — hone: <br /> Time in: , { t <br /> Time Out: t �f1 Page f <br /> V — <br /> EHD 16-24 (2m pg) 11/2/09 FOOD PROGRAM OIR CONTINUATION <br />