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SAN JOAQUIN COUR <br /> I <br /> 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 /> �IFORa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: S Date: <br /> Address: City: Zip Code- <br /> Owner/Operator: J' S Telephone: !tzk.0,76 <br /> 0 <br /> Program Element: Ilo a Program Record: PA 5 Q 162 Z <br /> Inspection Type: ?--'o <br /> F <br /> 180 Posted es 11Rermit Posted XYes ❑ I Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> i l vL.4' L( + ? <br /> ck_L)QL/ Wub C.e- • ro V4 ac WAR <br /> 2 a r+Y Le rl-I' 04 C <br /> boa rd ' n <br /> sil , <br /> Item/Location Temperature Item/Location Temperature <br /> y� SCP vJ0rryLt r 1 46 <br /> " <br /> 1_cls r . Ie_P, _ <br /> Facility Hot Water Temperature Warew, N99 <br /> Name: 1 tams Hand Sink: 2;0of Chlorine: ppm Heat: of <br /> —.._. _. <br /> Exp.Date: Warewashing Sink: o f Quat.Amm.: ,2ppm ther: "F <br /> Received By/Title: &lA`-. 1 /- <br /> EH Specialist: Phone: 53_ '.9 <br /> Time in: /I 1Z 5 <br /> Time Out: .� ro Page,;?f ;2 <br /> EHD 16-24(2ntl pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />