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SAN JOAQUIN COUS <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> •.oq.. rg �`a.� Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> �I FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: nsQ Date: <br /> ddress: 1 �� J City: zip Code: G 33 <br /> Owner/Operator: Telephone: <br /> Program Element:�b-Z Program Record: b` Inspection Type: _ <br /> SB180 Posted ❑Yes ❑ Rermit Posted n Yes ❑t Re-Inspection on or After: f—c� <br /> OBSENSANDCRRVAOECTIVE ACTIONS <br /> -- - <br /> C!-= M'�c ✓� �L?�C `," _ _ ` � -- <br /> b <br /> 2 <br /> 5 2 <br /> '/L <br /> '2 <br /> N 1. <br /> c C >a 1 ` 1 <br /> t� O <br /> \a r a <br /> T <br /> ^ ,:.d "mlLocation i T@ Item tLocation i Temperature <br /> Food Safety Certification `Facility Hrature - Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Beat of <br /> Exp.Date: ifwarewashing Sink: eF uat.Amm.: ppm other: of <br /> [EH <br /> eceived By I Title: <br /> Specialist: _ Phone: <br /> ]me in: 1�t i S Time Out: 2, IQ �3• ) Page_ of <br /> EHD 16-24(2�0 pg) 0/13 FOOD PROGRAM OR CANTINUATION <br />