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0 c°"'" SAN aIOAQUIN COUN' <br /> ) GG <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.se(lov.org/ehd <br /> S�%FORi� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: w r r t-_P% Date: <br /> Address: , 1 3 1 '+ fir- City: L G Zip Code: C/S Z v F <br /> Owner/Operator: ,t- lu' CC> T� Telephone: <br /> Program Element: �o Program Record:o 1 Inspection Type: <br /> SB180 Posted es TI No Permit Posted es T No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Item/Location Temperature Item 1 Location Temperature <br /> K- 3 - - - <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: 1 O ® t' F Chlorine: PPM Heat: F <br /> Exp.Date: Warewashing Slink. ' Quat.Amm.: PPM Other: of <br /> Received By/Title: 1 <br /> EH Specialist: Phone: Z <br /> Time in: + fD , C,o Time Out: : Lo Page>pf <br /> EHD 16-24 (2"d pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />