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c <br /> SAN .IOAQUIN COUP'�Y <br /> �-� ENVIRONMENTAL HEALTH DLrARTMENT <br /> = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> FTelephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.siAov.orq/ehd <br /> ORN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: jV U r n ' U j r v(A In Date: <br /> Address: �o 1m S r- 1 fco b City: Zip Code: q C , <br /> Owner/Operator: 1 QA 66 <br /> Telephone: 12;L3 <br /> Program Element: . t Program Record: Tn Wi, Inspection Type: <br /> B18O Posted Yes No Permit Posted es No (/ Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> ,Z .14ezr an )is gin(; (ed le ' u-I n Ck <br /> o��% Ctw Vme <br /> no to . ccIffeC ;n 6CA s� <br /> + curl brne,5 . c d <br /> T s F r ( SCARN cam{-;+;c . e s) OCAW , \?PWAe in <br /> Item/Location Temperature Item/LocationTemperature <br /> (,Avg -- -- <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: -F Chlorine: ppm Heat: -F <br /> i <br /> Exp.Date: arewashing Sink: -F Quat.Amm.: ppm Other: 'F <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> " 14-6 <br /> Time in: Time Out: Page 05 <br /> EHD 16-24 (2-pg) 413/13 FOOD PROGRAM OIR CONTINUATION <br />