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SAN JOAQUIN COUNTY <br /> ?� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �_aqc/Fsaa". Telephone:(209) 468-3420 Fax.,(209)464-0138 Web;www.sigov.oro/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ti 1--o Date: ` Zq <br /> Address: 1_ City: —� Zip Code: C� <br /> Owner/Operator:V �1 _ �v Telephone: 2_IZq_, 2 <br /> Program Element: \b�7�C Program Record: S 2 b to S Inspection Type: <br /> 318—Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> LI <br /> J <br /> �O C1 <br /> I <br /> i <br /> I <br /> Item/Location Temperature - Item/Location Temperature <br /> Food Safety Certification -,Facility Hot Water Temperature ".Warewashing. i - <br /> Name: --- ' � Hand Sink: •1 r- of Chlorine: ppm Heat: -F j <br /> Exp.Date: S _ L 4_ 2 2- Warewashing Sink: , of Oust.Amm.: ppm Other: <F <br /> ivReceived By/Title: C.�Jn•✓' !1n <br /> EH Specialist: C./1 1 fl _ Phone: to q ' (2) — <br /> _ —0 <br /> J <br /> Time in: q � 1 � Time Out: ct, Page�yf <br /> A 61r\n <br /> EHD 16-24 (2ntl pg)413113FOOD PROGRAM OIR CONTINUATION <br /> ev.s locre� Se� � � ce C� c ro�� \ ��n-Ero.c� , C" <br />