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SAN JOAQUIN COUP ' <br /> y ZX ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sogov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: -* Date: <br /> ddress: City: Zip Code: <br /> Owner/Operato :v /xjeL- Telephone: <br /> Program Element Program Record: A ��1 Inspection Type: <br /> B180 Posted I- Yes )(Permit Posted G Yes - I Re-Inspection on or After: -7 / <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 11(Jl <br /> A k1ra- <br /> 0 <br /> (/ <br /> l a-�_ :A <br /> IA <br /> jAA - 0kjLtjYV\i�., <br /> C <br /> 1 <br /> 1 <br /> rw bl"i d " <br /> uvs Jvv,u <br /> Item/Location mperature tem! ocatEo <br /> n �Temp> atare <br /> j r <br /> 91, 7 <br /> C <br /> w i <br /> ` <br /> -� <br /> �t eN7'7 ` t ---- r <br /> mperatu Warewashing <br /> Name: Hand Sink: f Chlorine: ppm Heat: F4 <br /> Exp. Date: arewashing Sink: �F iQuat.Amm. ppm Other -F <br /> Received By!Title: <br /> EH Specialist: Phone: ( — <br /> Time in: ( �' •�1 Time Out- 1 Q Pagel o <br /> EHD 16-24 (2n1 pg) 4/3/13'7 / FOOD PROGRAM OIR CONTINUATION <br />