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` ®zo <br /> SAN JOAQUIN COUNTY <br /> N: X <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • .., iP• Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.s'gov.org/ehd <br /> 4�i�oRa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ., f� 1-- �� Date: 7' <br /> Address: �� City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: ' Program Record: 0 j Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> � L <br /> rp w <br /> q 1 �- <br /> 3 C674- K <br /> ,/ -41 <br /> �2 Li2 0 <br /> Lcs <br /> "+S; <br /> r� 19 1 l <br /> n <br /> i 1 <br /> b r _ 9d 00 <br /> r <br /> IPA �O <br /> coo - <br /> I a } <br /> Item/Location Temperature Item I Locatio Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: 'F <br /> Exp.Date: arewashing Sink: of Quat.Amm.: ppm Other: 'F <br /> Received By/Title: -- <br /> EH Specialist: ..-tom Phone: 4 L C'i c� ^- <br /> Time in: `•J Time Out: ( V t� Page of <br /> FOOD PROGRAM OIR CONTINUATION <br /> EHD 16-24 (2M pg) 4/3/13 <br />