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SAN JOAQUIN COUN' <br /> gyp........ C <br /> Za ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.orglehd <br /> L�FO•R <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: U l.�r `��(� Date: <br /> Vfi/ cam <br /> Address: ,;Z) City: Zip Code: i 1 -7 r1 <br /> Owner/Operator: D 1 '/(-U Telephone: K `1J223 <br /> Program Element: 1 Program Record: 3G)ilb Inspection Type: fir' -fi n <br /> B180 Posted es 11Rermit Posted pX€s ❑I Re-Inspection on or After: t' 1 <br /> l, a <br /> �a ;, aux �a ,. <br /> �� <br /> UYY.e GI- <br /> S v 7 . 000h ItN-N2 <br /> Q <br /> crpw -FV rr, CA 1 <br /> (h <br /> Item/Location � �� ' Temperature,, ���`� � Temperature <br /> Food Safety Certification <br /> Facility Hot Water Temperature WarewaShing <br /> -_ - <br /> Name: Hand Sink: -F !Chlorine: PPm (Heat: '.F <br /> - — -- - <br /> Exp. g °F PPm ter: -F <br /> Ex Date: arewashin Sink: Quat.Amm.: Oh <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: Time Out: Page f3 <br /> EHD 16-24 (211 pg) 413,13 FOOD PROGRAM OR CONTINUATION <br />