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SAN JOAQUIN COUNTI <br /> a: X <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> c..• - :p Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> 4�ikoR`' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: e r + II� Date: <br /> Address: '1i�1 y I I I t (�i City: r C Zip Code: 9 S G <br /> ,v G� 1� <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> SE180 Posted Yes No Permit Posted Yes - No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 6, I: f J10<e G, <br /> z —on h :s <br /> I {, ck:A / : 1L , Fc ! :✓GAG <br /> Item/Location Temperature Item i Location Temperature Item!Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat. of <br /> Exp.Date: Wfareweeking Sink: CJ 'F Quat.Amm.: ppm Other: 'F <br /> 1 <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: �l J Time Out: Pageof <br /> V 6 � <br /> EHD 16-24 (2''pg) 11/2/09 FOOD PROGRAM OIR CONTINUATION <br />