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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> .�;P Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.segov.org/ehd <br /> �iFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 1 Date: - 3� <br /> Address: prf= L SNE City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: 2 G G Inspection Type: <br /> YLC <br /> SB180 Posted KYes ❑ No Permit Posted KYes E No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 'Fo o d S . -- <br /> Fooclre- ^cls avoJo <br /> Xa's l U i t.���-v� <br /> And Sine e k- _ <br /> m — Oki <br /> Item/Location Tempe ure Item/Location Temperature Item I Location Temperature <br /> r o'F w or Lake — icir qo IF <br /> 7Frue. F a ofe-fOfkra ze <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: X00 *F LChlorine: ppm Heat: o f <br /> Exp.Date: arewashing Sink: of .: ppm Other: of <br /> Received By/Title: r <br /> EH Specialist: Ph e: <br /> Time in: 1►7 Time Out: O� Page of <br /> EHD 16-24 (2na pg) 11/2/09 FOOD PROGRAM OIR CONTINUATION <br />