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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �q... �;;P• Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:vvww.sjgov.orq/ehd <br /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: \ Date: "-1 _'Z_ r <br /> Address: 2"-A 1 O" ` Q. 2\ CL City:--C Zip Code: q 3� <br /> Owner/Operator: Telephone: 32 _Q111 <br /> Program Element: `bL2 Program Record: S2 2� ` Inspection Type: J <br /> 6 Posted ❑Yes ❑ Rermit Posted ❑Yes ❑1 Re-Inspection on or After: <br /> OBSERVATIONS AND"CORRECTIVE ACTIONS <br /> _ 1 <br /> L <br /> i <br /> 1 P. <br /> -F� <br /> Ask n <br /> AM V <br /> \: n <br /> Item/Location Temperature Item/Location <br /> Y-e.e 11.SF <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: 1� e a Hand Sink: ,� ^ of Chlorine: ppm Heat: of <br /> Exp.Date: Q _ _ �.2 arewashing Sink: [`wof Quat.Amm.: ppm ther: F <br /> Received By/Title: 5\ G C <br /> eo <br /> EH Specialist: Phone: U _ 3 <br /> Time in: 1 01 <br /> 2 Time Out: 1� Pagel of I <br /> EHD 16-24 (2o°pg) 4/3/13) FOOD PROGRAM OR CONTINUATION <br />