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SAN JOAQUIN COUN r <br /> ,o.�k..o <br /> �y ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �4..i.- ..�;;P Telephone:(209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> < gb <br /> FOOD PROGRA.EJ1 OFFICIAL INSPECTION REPORT <br /> Name of Facility: /-,�, -,7 t Date: ' 261 L <br /> Address: �a n r City: Zip Code: n J <br /> Owner/Operator: l v 0,r 0 Z)/ ►i Telephone: 7 <br /> Program Element: I (",&0 Program Record: fLo VInspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: C <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> e,J r r <br /> o ' <br /> 0 <br /> r Y, <br /> t 0 V <br /> ✓ r <br /> Lr s <br /> t I <br /> t <br /> 57 <br /> II <br /> -1 Ale- <br /> ' L <br /> r <br /> .Z • M <br /> c� s. r' ti/ ' <br /> I ► ) <br /> Item/Location 1#e f 1 tiCai Temperature <br /> e r (4 v O Pal.. ��'l r�✓"• +,G/'e �S la u <br /> t t) LA) f d rLb r <br /> I-4"kP SG <br /> Food Safety CertificationFacility Hot Water Temperature Warewashing <br /> - — _ <br /> Name: (Hand Sink: of Chlorine: ppm ;Heat: of <br /> Exp.Date: IWarewashing Sink: of Quat.Amm.: ppm (Other: of <br /> Received By/Titie: <br /> EH Specialist: Phone: O <br /> Time in: Time Out: Page of <br /> EHD 16-24 (2^d pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />