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SAN JOAQUIN COUNTY <br /> �° •�°c <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-623 <br /> - P Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www slgov.orglehd <br /> qC1 F O.Re� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> ;v� <br /> es- <br /> Name of Facility: CQ ~ ` -2-" Zip Code: <br /> City: <br /> ddress: m Telephone: <br /> owner/Operator: Inspection Type: <br /> rogram Record: S351Z Z <br /> Program Element: ,be Z I b Re-Inspection on or After: <br /> S6180 Posted <br /> Yes ❑ Rermit Posted ❑Yes <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> `>^ w <br /> _ ✓S <br /> (moo <br /> �— -- ` Tem raft <br /> -� ttemlLocation Temperature Item 1 Location �_._ <br /> - -..._ <br /> -, --- <br /> Food Safety Certification Facility Not Water Temperature Warewashing <br /> Name: <br /> -_"-- Hand Sink of Chlorine: ppm 'Heat: <br /> N' Exp.Date: arewashing Sink: of Quat.Amm.: ppm Other: <br /> Ea <br /> Received By/Title: <br /> r1 _ <br /> [Re EH Specialist: �I�\ Phone. `b _0` Time Out: Pageime in: FOOD PROGRAM OR CON <br /> EHD 16-24 (2ntl pg) 4/3/13 <br /> EHD <br /> i'" <br />