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� PpUlp <br /> SAN JOAQUIN COA* <br /> x ENVIRONMENTAL HEALTH DEPARTMENT <br /> - = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �.•..,,,,..a�P Telephone: (209)468-3420 Fax: (209)464-0138 Web:WWw.s0gov.orq/ehd <br /> ��FpR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: slI �i"'e 73 1 Date: } <br /> Address: `C Cit <br /> y' �' 17Jcfv Zip Code: 7 f, <br /> Owner/Operator: nn am Telephone: ^_-}1 L s� <br /> Program Element: ' 1 „�A- Program Record: 6�1 I �T Inspection Type:`` 't <br /> 8180 Posted �L Yes ❑ Rermit Posted lYYes 111 Re-Inspection on or After -, <br /> OBSERVATIOti AND CORRECTIVE ACTIONS <br /> G (A r-e 1-o+ _ n <br /> Ono '11�SvC' Q,1V r 1 nSi r,k fire- - s <br /> Tn . rncN U n� 1 - e vn i-rv\ la <br /> in�Qin a CsZN. vn sAAe <br /> 6k co <br /> Iterniocation Temperature Item 1 Location Temperature <br /> Food Safety Certification Facility Hot Water Tem Warewashing Temperature <br /> Name: Hand Sink: 'F Chlorine: ppm Heat: °F <br /> Exp.Date: arewashing Sink: 'F Quat.Ani ppm Other: 'F <br /> Received By/Title: ; <br /> EH Specialist: Phone: <br /> Time in: k j Time Out: Page*?of7 <br /> EHD 16-24 (2n°pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />