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P <br /> SAN JOAQUIN COUI <br /> y� ENVIRONMENTAL HEALTH DEPARTMENT <br /> y: I X <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> ��F OFRa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: y Date: <br /> Address: 2 S U �� C City: T'-' cy T'—'cZip Code: 953,4C <br /> Owner/Operator: Telephone: il 3 v y 6 70C <br /> Program Element: Program Record: Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes r No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> _ VISA C! /1 C Q ^d A b r, Yes <br /> h P f✓O c <br /> 02 Pr- e ¢ a h I,. r (Y /e r Ca � <br /> Item/Location Temperature Item(Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: !� Hand Sink: /t! C4k o f Chlorine: ppm Heat: — 'F <br /> Exp.Date: Warewashing Sink: l N 2, of Ouat.Amm.: ppm Other: of <br /> Received By/Title: iy <br /> n–tYr7 <br /> EH Specialist: U Phone: <br /> l <br /> Time in: 0 Time Out: Q Page of <br /> EHD 16-24 (2n°pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />