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P, <br /> SAN JOAQUIN COUNTYW <br /> ? <br /> t-NVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> 9CiFOM1� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: p0"ni-)yN C�� Date: ;y' <br /> Address: 46 N . SAA-ex City: C111X.f-- 1 <br /> Zip Code: C"102— <br /> Owner/Operator: <br /> "21�Z <br /> Owner/Operator: M al (C/�- J 'W1 Telephone: v <br /> Program Element: t k Program Record: I.C� - --'�-}L'. Inspection Type: . <br /> 8180 Posted ❑Yes ❑ Rermit Posted Dyes ❑1 Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> ........ .._. <br /> � O�Cthts� CvrC� <br /> Item/Location rTemperature item d..towtlop. .. .._... _Temperature.; <br /> Sty,Hot Water Tempera <br /> Name: and Sink: - eF hlorine: Ppm Heat: =F <br /> Exp.Date: arewashing Sink: eF uat.Amm.: PPM ther: >F <br /> Received By I Title: <br /> EH Specialist: Phone: <br /> Time in: - Time Out:, q;l `'t Page of <br /> q <br /> EHD 1624 (2i0 pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />