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qurN SAN JOAQUIN COUP <br /> _ z ENVIRONMENTAL HEALTH DEPARTMENT <br /> a: <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> �rFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �7--��- . , N i Date: A <br /> iI <br /> Address: . ` G City: Zip Code: <br /> Owner/Operator: d-lfr t i Telephone: <br /> Program Element: 1 Program Record: / Inspection Type: <br /> B180 Posted ! ❑Yes ❑ Rermit Posted Yes ❑1 Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS. <br /> V I I <br /> vL�'G1�1 O KVt.v>p <br /> h _ <br /> q S T' J4ti0_1_t 6 W I <br /> _ (ice <br /> ' �I fi K G <br /> ' (% <br /> kq AA t <br /> 'U10AJLfA- AAA <br /> W- 1 • C G("' -� <br /> YA 3 <br /> 3 <br /> vttit�(ttVVCc-g -- <br /> v <br /> Temperature <br /> - <br /> Food Safety Certification I� Facility Hot Water Temperature �i Warewashing <br /> _ _ .. <br /> Name: 11 Hand Sink: `F ,Chlorine: ppm Heat: °F <br /> i <br /> Exp.Date: arewashing Sink: 'F uat.Amm.: ppm Other: 'F <br /> ,. <br /> ell <br /> Received By/Title: G� <br /> r <br /> EH Specialist: Phone: <br /> S <br /> Time in: Time Out: Pagel of <br /> EHD 15-24 (211 pg) 4,13113 FOOD PROGRAM OIR CONTINUATION <br />