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SAN .JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 77 Date: <br /> Address: City: C �� Zip Code: <br /> - <br /> Owner/Operator: Telephone: t/0 -7 l <br /> Program Element: i i ir� Progr Record: Ins ectio TypeLI , 7 <br /> Vff,-80—P—Osted ❑Yes No Permit Posted '-.Yes ❑ No Re-Inspection on or After: <br /> ATLAS AND CORRECTIVE ACTIONS <br /> aK <br /> 19V UG1,VI1�L <br /> [CA 4ad4ii"I, <br /> S <br /> 1Q1 hk <br /> 1444 10-1444 <br /> �•. "`: " A :` !tern/Location Temperature Rom 1 Location Temperature <br /> > 3 ` - -- <br /> Food Safety gartfica*m Fap'lity Hot Water Temperature Warewashing <br /> Name: Hand Sink: I �' OF Chlorine: ppm Heat: 'F <br /> Exp.Date: arewashing Sink: OF Quat.Amm.: ppm Other: OF <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: I , Time Out: 1 Z Pag of <br /> 1 <br /> EHD 16-23 (2n°pg) 07129/09 FOOD PROGRAM OIR CONTIN ATION <br />