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SAN JOAQUIN Co%-..TY <br /> Q` ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . .. Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.siQov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: t1lrd �� '7 �- Date: <br /> Address: E p r City: O CGI A9 Zip Code: <br /> Owner/Op"w. A ry7 G^'a_S Telephone: I <br /> Program Ekwfwr* Program Record: Y/Q �5 �� © Inspection Type:(or pf ! <br /> S8180 Poste' •w %D Permit Posted Yes ! No Re-Inspection on or After: T7 <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> / 1Rio C(_� <br /> 1 T_iWINKz <br /> tion Temperature Item/Location Temperature <br /> -ification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp. Date: Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: hone:Phone: �� / <br /> Time in: Time Out: Page of / <br /> EHD 16-24 (2nd pg) 4/3113 FOOD PROGRAM OR CONTINUATION <br />