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°"!" SAN JOAQUIN COU. Y <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> cq.Ci :P Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sagov.org/ehd <br /> ii O <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: c+5. 5 Ij G r + I/ Date: L� <br /> Address: '` (I _ S City: Tr I Zip Code: 9's 3 G y <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: v <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> $ r :3 P%P VVN she if G bta✓e, ab le <br /> C /►1 oto to 6/ay ✓C <br /> Z r 1 01 elC Qn d -s „> ru/I I q F z 7•f <br /> / VI ; A N rc, r' 5t le r• ors ci 4 ! <br /> G o rrtc <br /> 3 U �a s4ra s )ra <br /> +oda <br /> S� hC411t Z 13<ooK1 <br /> Item/Location Temperature Item/Location Temperature <br /> Rcuch c3- dovA <br /> Food Safety G�ion Facility Hot Water Temperature Warewashing <br /> Name: 0 to I U A v Hand Sink: ,U j 'F Chlorine: ppm Heat: F <br /> Exp.Date: 7- Warewashing Sink: 2v of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: - Phone: 4v. / 0� <br /> Time in: : 1 Time Out: 1 ; D L7 Q Page of <br /> �J z <br /> EHD 16-24 (2n°pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />