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SAN JOAQUIN COUP <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> --_ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> cq.• iP Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.slgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: V�, - C 61X.2-7 7 Date: k J 3 -/-/ <br /> Address: (��S Lo, <br /> 1 L ` City: -�r�_ C Zip Code: CI c 316 <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: �`C <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> soda i O cc J fly C J. <br /> l orr <br /> Item/Location Temperature Item/Location Temperature <br /> J yy'/_ <br /> Town z de jSd4 '/- h; 1" z7s,/= <br /> ,l U, - CC11 - <br /> „ r: <br /> Fooq,Safety,Certification Facility Hot Water Temperature Warewashing <br /> Name: U Hand Sink: wU 'F Chlorine. PPM Heat: `F <br /> Exp. Date: 3 i Warewashing Sink: C' <br /> of Ouat.Amm.: PPM Other: of <br /> Received By/Title: / <br /> EH Specia y Phone: ., <br /> Time in: Time Out: O Page f <br /> EHD 16-24(2^^pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />