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SAN JOAQUIN COUI ' <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.s6gov.org/ehd <br /> ��FpR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: V ,- t ` \u , Date: <br /> Address: 2) City: Zip Code: <br /> Owner/Operator: Telephone: <br /> AVY�4v�� - � � �`l.l1J - <br /> Program Element: Program Record: /1i ��7 �� Inspection Type `2 `,�� <br /> SB180 Posted ❑Yes 0 Rermit Posted C L❑Yes 0 1 Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> MAJ- <br /> - , <br /> L <br /> py <br /> A IU4_41 <br /> --u, <br /> fl" <br /> 1 <br /> bon <br /> T/M <br /> T -01dM - l F V <br /> _ <br /> W- 0-catio Temperature_` <br /> '_� i (k lh&10, A( 33 F 3 <br /> / <br /> (2,_1 (�„� <br /> Facility Hof Water Temper tufa Warewast�in j <br /> — - - <br /> Name: Hand Sink. of Chlorine: ppm IHeat: of <br /> Exp.Date: arewashing Sink: of uat.Amm.: ppm jOther: of <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Timein: / /„ Time Out: U/ Page;�f <br /> EHD 16-24 (2n'pg) 4/3/13/ FOOD PROGRAM OIR CONTINUATION <br /> A i <br />