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ahANIN•.q SAN JOAQUIN COUNTY <br /> m <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:wWw.siaov.org/ehd <br /> 'dUABW'' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: NO mim / Date: <br /> Address: City: C'q o*L Zip Code: <br /> caner/Operator: f Telephone: <br /> Program Element: Program Record: s S Ins ctio Type: G( <br /> 8180 Posted 0 Yes No Permit Posted 0 Yes 0 No Re-Inspecti n on o Aker: <br /> AlID CORRECTM ACTIONS <br /> JA &f(j4i/j AAqaVfftM&tX4A,-[ M <br /> G Z <br /> k ' S <br /> • 1 r <br /> OW PAA <br /> .� -�'z '• 16am71.ora0pf,`. Temperature item/Location Temperature. <br /> 311 Fi <br /> FoodSaPely. aRfi oFi: �. F"''Ii "Water Temperature Warewashing . <br /> Name: Hand Sink: -F hlorine: PPM Heat: 'F <br /> Exp.Date: arewashing Sink: "F uat.Amm.: PPM ID"her: 'F <br /> Received By/Title: <br /> EH Specialist: L Phone: <br /> i <br /> ime in: I i Time Out: 1 Z /1 Pag of <br /> EHD 1&23 (2'pg) 07/29/09 1 ♦ U. FOOD PROGRAM OIRCONTIN 'TIM' <br />