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7 <br /> SAN JOAQUIN COU. <br /> 'x ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �;.,, c•.�;;P Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> �rFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: � 1 J �1xf - Date: 3—1 <br /> Address: /� Y 1 5 ( A,-/_Q City: C IL:� Zip Code: <br /> Owner/Operator: "Ro<cx � z L f Q l � fv - CA, Telephone: 30i_7 <br /> Program Element: Program Record: ��� r�l�n � �- Inspection Type: �'On 50 I h 0 <br /> 6180 Posted ❑Yes ❑ Rermit Posted ❑Yes <br /> 1l ❑ 1 Re-Inspection on or After: <br /> OBSERVATIC)NS AN{] CORREGTIVE ACTIONS <br /> t. <br /> 'I T 3 Z I ?)C5 %�U 19 �3 Ll --) 0 <br /> - - - -- -- <br /> • all <br /> L J l.. I O r r 1'L1 r tJ< r Gi <br /> Item/LocationTem erature Item I Location Temperature, <br /> . . . p <br /> Food Safety Certification , .., acility Mat Water Temperature � � Warewashittg, • <br /> Name: Hand Sink: of Chlorine: ppm Heat: F <br /> Exp.Date: arewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: K/4,4,r1_ <br /> EH Specialist: t( ! L f.,,r - Z� Phone: <br /> Time in: I ;> Time Out: 13 G Page ,of <br /> i <br /> EHD 16-24 (2nd pg) 4/3113 FOOD PROGRAM OR CONTINUATION <br />