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Nck"!N <br /> SAN JOAQUIN COW <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> -3420 Fax:(209)464-0138 Web:www.si <br /> Telephone:(209) 468 -gov,org/ehd <br /> LfFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: T�z Scjlva+�(-)n *V)-V Tn�A Date: <br /> Address: 130('0 t )a� s 0-P I City: Zip Code: P r'—& <br /> Owner/Operator: The 'SO)v 0-"CM P-fm�4 Telephone: 4-&(,- <br /> Program Element: j C,32 Program Record: P7. C ` (a VInspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No Re-inspection on or After: <br /> }BSER <br /> ................. <br /> ................. ............. <br /> ..................................................................... .................................................................. <br /> V 01 CA-hw) crap_ CA:�ad <br /> ............ ............... ....... ......... ............. .....-------------- <br /> Tem peratu re Item Location Temperature' <br /> -- - -------------- <br /> ............... <br /> ............ ........... <br /> ''Facility Hot Water Tern Ie swas hing <br /> "Peratu <br /> Name: Hand Sink: 'F Chlorine: ppm Heat.' F <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: Ppm Other: 'F <br /> Received By/Title: <br /> ?I AL��lMA`A <br /> EH Specialist: Phone: <br /> Time in: 1% "a Time Out: <br /> E HD 16-24 (2n'pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />