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oPaut"•.� SAN JOAQUIN COUN)-i` <br /> e: < <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 /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Tech --s C, or-Ae f - 0 m M iS Sar Date: ?• 18,.09, <br /> Address: 6 a I W e 3 1 L r'1 City: S+k Zip Code: 5S, 2/0 <br /> Owner/Operator: Telephone: y 3 0 - frly y' <br /> Program Element: Program Record: Inspection Type: ou /:n C <br /> B18O Posted 0 Yes 0 No Permit Posted 0 Yes ONO Re-inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> AO I// 1C4 ' onS <br /> 1tem/Location - Temperature Item f Location Temperature Item/Location Temperature <br /> r <br /> Food Safety Certifl_wtion Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink:A 1— /. <br /> O .F hlorine: ppm Heat: .F <br /> Exp.Date: ewashing Sink: U .F uat.Amm.: ppm ther: .F <br /> Received By I Title: 01 <br /> EH Specialist: -//7�,1 Phone: <br /> Time in: Time Out: Pag5 f <br /> EHD 103(2n pg) 1110&08 FOOD OR CONTINUATION <br />