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SAN JOAQUIN COUN' <br /> Q` ENVIRONMENTAL 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 /> <iFOR`' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ,arke 4- Date: cs_ <br /> Address: City: Zip Code: <br /> lY L Uwe er' <br /> Owner/Operator: LL Telephone: <br /> :+° \.!• r (ELL <br /> Program Element: Program Record: O Inspection Type: ty` <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: T <br /> k OBSE <br /> s <br /> © w��I s c c f �. �.. �{�—t i., re& ;s�e•-c'�0 r o.r-e d.� - -- <br /> 52e f-ik "ei 2da S . <br /> tom. k't -+tom- walk- i-� t's _ Pr-v vIL <br /> 1 k' kfi L -eek. <br /> -e'Vn e <br /> be vw► -oda <br /> Item/LocationTemperature Item!Location Temperature <br /> - -- - <br /> lr�kx <br /> I/2 GHJ— <br /> Food Safety CertificationFacility Hot Water Temperature Warewashing <br /> Name: �Gn'e►'L� Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: arewashing Sink: ej of Ouat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: / Phone: <br /> Time in: Time Out: Page`Zof <br /> EHD 16-24 (2n1 pg) 4/3/13 7 FOOD PROGRAM OIR CONTINUATION <br />