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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.sogov.org/ehd <br /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: I �•1 �rUVV l U(-Le S Url (_e (',\ �A akY�Date: <br /> Address: �fJ CU` 7.,,ej � (r,r- City: C _.TU� ZipCodeF-jl� 2(,S <br /> Owner/Operator: ,C1 L RI V -p—� Telephone: 2`�_ I S}� <br /> Program Element: I b G _ Program Record: S U 0 T 2 i Inspection Type: L UYl -U <br /> Pi-80 Posted ❑Yes ❑ PermitPosted ❑Yes ❑t Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> T� C urfQ cf C�5 Q�G�Z <br /> FLA <br /> Item/Location Temperature Item!Location <br /> Food Safety Certific "on Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sinic of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> 1 J <br /> Time in: (� – Time Out: � .C) Page( of <br /> EHD 16-24 (2"d pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />