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°Wry SAN JOAQUIN COUN <br /> Z� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sogov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Ord <br /> 1-� � c-, Date: �_j 1:' <br /> Address: " City: },, Zip Code: <br /> Owner/Operator: �� U 1 ��. Telephone: <br /> Program Element: j b/ Program Record: �JC��� G C } Z` Inspection Type:ccN uc u 10'�(t��n <br /> VB180 Posted ❑Yes ❑ Permit Posted ❑Yes ❑1 Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> yov ICU PC�tFkx -IZ>w <br /> i (a Sln wc4e g d ocf. <br /> �15I_bC 10+- WaleR 0-+ ITvC- rnVFtCM a (I4- <br /> 00cf, POIUS WOT <br /> Q - 2 <br /> Old <br /> emperature Item 1 Location Temperature <br /> ., Warewashing <br /> Name: Hand Sink: G of hlorine: ppm Heat: F <br /> Exp.Date: arewashing Sink: of uat.Amm.: ppm Other: of <br /> Received By/Title: t <br /> EH Specialist: Phone: /1/'I <br /> Time in: Q: U Time Out:`� Pager of/ <br /> 16 <br /> EHD 16-24 (2na pg) 4!3!13 FOOD PROGRAM OR CONTINUATION <br />