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°q!N..Z' SAN JOAQUIN COUN' <br /> a` ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 1 c... ;p• Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.segov.org/ehd <br /> 4LjFOR� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: 2 <br /> Address: C h'� City: / Zip Code: <br /> Owner/Operator: r !�� /� L Telephone: <br /> Program Element: /1 Program Record: 05?, <br /> 2 Inspection Type: �r <br /> SB180 Posted Yes <br /> UU No Permit Posted Yes ❑No / Re-Inspection on or After: <br /> rl <br /> z- <br /> b"D' b <br />• v <br /> 0 — d <br /> e AhA kb$�/ti d <br /> G{10 vvi. v <br /> --� r <br /> om -- D <br /> � v <br /> u� 14 Sa g ( - Z <br /> WCUCA i Mi Ckktv P - 2 -- <br /> r <br /> Item/Locafton Temperature a AItem/Location Temperature <br /> Q U ''t-t 6/Z�(7 j C((G� ✓t� Z <br /> ( (�� g LCf <br /> t104 <br /> OR <br /> CGGf sR U 1 _ D <br /> Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: ,v t� Phone: Q <br /> Time in: Time Out: Pagof <br /> EHD 16-24 (2"d pg) 4/3/13 FOOD PROGRAM OIR CONTINU ION <br />