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01�9. SAN JOAQUIN COUN', <br /> �-� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> �iFORa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: i Gi r / K�GJ 2 Date: 1- <br /> Address: aG� 1 1� City: O['iz� Zip Code: <br /> 7J T� 52Ck <br /> Owner/Operator: 1" Telephone:r <br /> 342 <br /> Program Element: Program Record: 5 55 Inspection Type: u ` <br /> SB180 Posted ❑les ❑ Rermit Posted eg ❑( Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> I0 Q f RU rP <br /> S uSO Ue (Th <br /> oC� S eG11z , <br /> o o is_ M iA fog aoI <br /> +c S CM Si <br /> Item/Locatid TemperatureItem 1 Location Temperature <br /> i <br /> _..._ — -------- - - <br /> Food Safety Certification Facility Hot Water Temp'_ Warewashing <br /> Name: Hand Sink. of Chlorine: ppm Heat. of <br /> Exp. Date: arewashing Sink: 'F Quat.Amm.: ppm Other: F <br /> Received By/Title: <br /> EH Specialist: ,I Phone: n 0 c 4�G <br /> Mei V GU LJ g� <br /> f,Me m: , Time Out: Pae of <br /> EHD 16-24 (2nd pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />