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°"�" SAN JOAQUIN COUN <br /> �+ ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c4�lc Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.segov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: , Date: 'J (r 7 <br /> Address: ) ' fn^V, i L. N City: Zip Code: <br /> Owner/Operator: v-�&-t- Telephone: <br /> G'ti'l 1-titi C I <br /> Program Element: d-- Program Record: 4�1Ct <br /> QInspection Type: Y � <br /> 8180 Posted K ❑Yes ❑ Permit Posted ❑Yes ❑f Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> T1, 4 �i �� v�'v - ..� L Civic v�-,l•vLp( l� a <br /> t4,wL;t;7 . <br /> � tp • 3 �1 Y1 ,Cz (�(i� �� r J - <br /> s <br /> toU ).4 ad djWa4t al <br /> Food Safety Certification Facility Hot Water Ter>aperature Wa; <br /> eg..... .ua .. , <br /> Name. Hand Sink: OF Chlorine: ppm Heat: OF <br /> Exp.Date: arewashing Sink: of uat.Am ppm Other: 'F <br /> _1 <br /> Received By/Title. <br /> L\1 -� <br /> EH Specialist: Phone: ? '( <br /> ime in: , Time Out: J Page of <br /> EHD 16-24 (2nd pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />