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c). SAN JOAQUIN COUR <br /> �+ ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �q.c --,..�;�P Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> jFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: <br /> *PTMODUS> Date: 2 , <br /> Address: UU t I 8001 %NoN` No <br /> City: 51-r,(�L � Zip Code: <br /> Owner/Operator: I ' Gk r"- CA 1 x1-0 S t " Telephone: "l <br /> Program Element: I ' Program Record: G U fi I Tb",� Inspection Type:C CTW H-a-b <br /> C <br /> LL2 <br /> ted ❑Yes ❑ Permit Posted ElElYes I Re-Inspection on or After: 1,v't <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Fri <br /> ice Q Epoq) vt na sum +►-F n <br /> o d a Foo V�QC00 2�S <br /> n 30 1 CACA <br /> --- - W-2 ifi Ufa <br /> S �4U 10 v - 5�5- <br /> Item/Location Temperature item I Location <br /> of Water Temperature Warewashing <br /> 7ame 7777Hand Sink: 1 L of Chlorine: ppm IlHeat: F <br /> arewashing Sink: �L of Quat.Amm.: ppm (Other: of <br /> Received By/Title: Oyu t�- <br /> C <br /> EH Specialist: Phone: �n <br /> Time in: .ZU Time Out: � Page of <br /> EHD 16-24 (2n1 pg) 4'3113 FOOD PROGRAM OIR CONTINUATION <br />