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ap0. '''rOG SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigoy.or_q/ehd <br /> �rFOR� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 77�7-\ Date: <br /> Address: O Clty: T_ Zip Code: 5 2Z I <br /> Owner/Operator: t-�1 Telephone: k4 b <br /> Program Element: 2 2 Program Record: \b Inspection Type: C'7_ <br /> 8180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> /--Q - \ vl (U,*-k C--(Z <br /> b- 11- 1 <br /> A- <br /> — <br /> e �-1 <br /> f <br /> '# p <br /> .Location ,,, Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: PPM Heat: of <br /> Exp.Date: Warewashing Sink: of uat.Amm.: ppm ther: of <br /> Received By/Title: <br /> ro <br /> `'tb-V — Z M7_1 <br /> l <br /> EH Specialis • Phone: _l I _ 18_ C) <br /> ime in: q , Time Out: C1 . S Page of <br /> EHD 16.24 (2m pg) 4/313 FOOD PROGRAM OIR CONTINUATION <br />