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oPQ�I" SAN JOAQUIN COUNT <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> N: I X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �q•. ;P Telephone:(209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> �rFORN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility:- E'S ally �•r1 Date: S.- <br /> Address: .-73 ne City: C,� _L n Zip Code: S Z0 <br /> Owner/Operator: 5 1 _ u C' is -. / C�-�d Telephone: 3-7 -t1` <br /> Program Element: Program Record: 0 - Inspection Type: <br /> SB180 Posted des No Permit Posted�eLXes No Re-Inspection on or After: <br /> UBSERVATIQNS AND CORRECTIVE ACTIONS <br /> Sc)J yr zap 4-IL —Y'Qt-r'r S Qr'�.�Ll r ! �_�4 ...4 �SL. <br /> r0F ; '-,C <br /> -tr C <br /> x'. It r ftetn Y Location Temperature <br /> -( r7? ct­aC e s <br /> 15M g1p err <br /> T t c»r- S� +-t .��- Tv- — <br /> 1 123L� Z r✓Z7c%r c� L� <br /> Food SafetymCertification Facility Hot Water Temperature J Warewashing <br /> Name: Hand Sink: t O O of C lorine: I c�U PPM (Heat: F <br /> 5u e �c r�►�G� — - - <br /> Exp.Date: Z� arewashing Sink: of Quat.Amm.: ppm Other: '•F <br /> Received By/Title: <br /> EH Specialist: " Phone: <br /> Time in: : Time Out: Page2ofL <br /> EHD 16-24 (21^pg) 4/3/13 FOOD PROGRAM OIR CONTINJATION <br />