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SAN JOAQUIN COUNTY <br /> q ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <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: Date: <br /> Address; ?-O - City: Zip Code: 33� <br /> Owner/Operator: e voY\ Telephone: <br /> Program Element: \b` J Program Record: Inspection Type: <br /> B180 Posted O Yes D Rermit Posted ❑Yes of Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> \ S o --5 O <br /> LQ C, <br /> 1 <br /> 2 a L AA-e. <br /> C/ % k- <br /> /-In"- <br /> tpk <br /> tL� 1B b E _ 1 <br /> c$2o,6 <br /> hem/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: and Sink: `F hlorine: ppm Heat: 'F <br /> Exp.Date: arewashing Sink: 'F uat.Amm.: PPM r <br /> ther: 'F <br /> Received By/Title: OV <br /> EH Specialist: - Phone: _ 3 <br /> Time in: , Time Out: +` 1.15 Page of <br /> EHO 1624(2^'p9) 4b/13 FOOD PROGRAM OIR CONTINUATION <br /> p��S1111S� <br />