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Pputty SAN JOAQUIN COUO <br /> � •.OG <br /> y <br /> :< ENVIRONMENTAL HEALTH DEPARTMENT <br /> N: x <br /> - = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c4�rFORa�P Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: NO N L ZA i `� � �-�c� Date: j 2- <br /> Address: > 1� City: CJ Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> 2 <br /> S6180 Posted ❑Yes ❑ Rermit Posted ❑Yes ❑I Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 'ji of uti UNS C Qc �X fi <br /> cLS C) <br /> 2 1�61 - -t-a- p Fx <br /> MY1n <br /> -fib �Ss V-C t2ki4n1 izX- 2p 1- <br /> U CC VOtd <br /> Item/Location Temperature Item I Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> �. - _ __ _. <br /> Name: Hand Sink: of Chlorine. ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Quat.-Am m. ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: lt✓ _ 6(� _ <br /> Time in: Time Out: i L� �JJ Page(of f <br /> EHD 16-24 (2nd pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />