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SAN JOAQUIN COUNTY <br /> 'ya ENVIRONMENTAL HEALTH DEPARTMENT <br /> a: . :< <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> • a��/�a �; Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: R Date: 9 <br /> •Z1,-o <br /> Address: SJ �N 5 r City: Zip Code: s 37 <br /> ner/Operator: r1 4 t� JX �✓441�� R Telephone: <br /> Program Element: Program Record: ASO s�� s-�G Inspection Type: <br /> IS �K T� <br /> B180 Posted )(Yes T No Permit Posted Yes No Re-Inspection on or After: <br /> OBSEWATIONS AND CORRECTIVE ACTIONS <br /> 1 �1oT ev puvK u 13C <br /> Su P�ICb �n� � o il�j�6v�sera- �3>ZAKEQ raetiEA <br /> d W /M MED//►i�Ly <br /> ibenUlocation 'Temperature item/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: and Sink: F,�hlorine: ppm Heat: of <br /> Exp.Date: �� arewa hi g Sin of lQuat.Amm.: ppm Other: of <br /> Received By/Title: / <br /> EH Specialist: ✓ Phone: <br /> Time in: l/,w Time Out: f J.,+-/'�' Pageef <br /> EHD 16-23 (2^4 pg) 07/29/09 FOOD PROGRAM OR CONTINUATION <br />