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SAN JOAQUIN COUNO <br /> 'gyp..........0 <br /> �� •AG <br /> ?< ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> q�%FORii <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facilit­70,7a r(Ly: r .,� /y _ <br /> ., Date: <br /> Address: 7 ;r City; Zip Code: 04 <br /> Owner/Operator: / V44r Telephone: ` <br /> Program Element: PrograInspection Type: b ?v <br /> J G_6, <br /> 6180 Posted ❑Yes ❑ Rermit Posted ❑Yes 0 1 Re-Inspection on or After: <br /> k �" OBSERVATIONS AND CORRECTIVE ACTIONS <br /> It IC <br /> r ^ f <br /> F 3 � � 3v � - <br /> _ ^ N <br /> ✓V� o " <br /> CC w r <br /> R <br /> dd <br /> r j Qv 'Pro V 14 <br /> / -7 <br /> Itemll,ocation Temperature Item t Location 3 Temperature <br /> W._ <br /> r <br /> Wa1rewas hing <br /> Name: L� Hand Sink: / 00 'F , phlorine: � pm Heat: of <br /> Exp. Date: r arewashing Sink: 'C� of uat.Amm.: ppm Other: °F <br /> Received By/Title: <br /> kAJ +� �, G <br /> EH Specialist: lycI, Phone:IAJ / Off^ <br /> Time in: /� n, ^� Time Out: /)b �/`� of j Page of <br /> EHD 16-24 (20°pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />