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SAN JOAQUIN COUNt <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> oq., ip Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.orq/ehd <br /> �/Fpfei� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: "7 co t t r P, Date: <br /> Address: NJ T r,,, C City: ; ( Zip Code: C S 3 7 C <br /> Owner/Operator: U n ti Telephone: <br /> Program Element: �, O Program Record: S R 0 I Inspection Type: G c n <br /> SB180 Posted Yes No Permit Posted - Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> We C <br /> rcl v; Oleu ;ccl4e I h6 G <br /> onorm; 1 0 Ace- n v etle urn <br /> olr\ d C4 V fllr Derm-4. <br /> fac;l�{ i 5 co 0c J <br /> Item/Location Temperature Item/Location Temperature Item/Location Temperature <br /> 2 dUU r I - <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: ` of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: Z of Quat.Amm.: ppm Other: of <br /> Received By/Title��✓Jj/ . <br /> EH Specialist: Phon : <br /> Time in: S Time Out: Page of <br /> S <br /> EHD 16-24 (2o°pg) 11/2/09 FOOD PROGRAM OR CONTINUATION <br />