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PQ"'" SAN JOAQUIN COUNTY <br /> X <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> • �q.. ;P. Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> <<FORt� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ra Uri x-k- Date: <br /> Address: 0,3 r� �+ City: Zip Code: 5a2 I <br /> Owner/Operator: S e I I S me Telephone: (j <br /> Program Element: i(Od 5a 2 Program Record: 5nn -2 Inspection Type: R nQ <br /> SB180 osted Ye [I No Permit Posted !-]Yes El No Re-Inspection on or After: f J <br /> OBSERVATICsNS AND COR <br /> r 0-f o rn - - v S <br /> Gt pla I AJU LL M 414.-0 %,AZt X 4.a cle i�� <br /> a -To cL <br /> D I� +p I"cc <br /> rfl e <br /> W <br /> Lu me,74 /�Co si,L t ( C;u�s�c /r es+Loom Si.•-K L4J- H ;j 000 -- <br /> erature'`. emperature <br /> jt <br /> Food Safety Certification Facility Hot Water Temperature arewas <br /> — <br /> Name: — --- ---H--d Si k: of Chlorine: ppm Heat: of <br /> _ _ �2 _ <br /> Exp.Date: op Quat.Amm.: ppm Other: of <br /> r � <br /> Received By/Title: <br /> EH Specialist: /- G/_ Phone: 953''2 <br /> Time in: Time Out: Page, of <br /> EHD 16-24(2nd pg)'11009 FOOD PROGRAM OIR CONTINUATION <br />