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SAN JOAOUIN COUP' <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.om/ehd <br /> LfFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ,(��t1, s I�. � -1-1_ ", Date: ; 1, <br /> Address: r 2 U N . S6A11 D City: Zip Code: qn2-02 <br /> Owner/Operator: w���� S Telephone,1 <br /> —+Z <br /> Program Element: . Program Record: R 1 G��j I to Inspection Type: })P-Al <br /> d' es <br /> SB180 PosteNo Permit Posted Yes No 1 Re-Inspection on or After: — <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> at 66,WWi- Cit <br /> idisjz&wx ih we <br /> .._....... <br /> '__-. <br /> � ,2cT , � i►�fi r� -n � �n � V . ui f� res . <br /> In cam_._._ <br /> NOS q c�f fih-2 r �s <br /> ct _ <br /> Ct Wu(, Oz - \� G* w <br /> S 1n n-\.e cl�iat- yr uoyr Tung-Incl <br /> ( (nttn-ltl G C 011 - Me5:�- <br /> Item/Location — Temperature F Item J Location Temperature <br /> - -- - - - ---- <br /> Food Safety Certification Facility Hot Water Temperature Warewashmg <br /> Name: Hand Sink: °F Chlorine: ppm Heat: `F <br /> Exp.Date: arewashing Sink: -F Quat.Amm.: ppm ,!Other. -F <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: I }r� Time Out: Pag of <br /> EHD 16-24 (2nd pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />