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.. SAN JOAQUIN COUNTY <br /> lENVIF AMENTAL HEALTH DEPOTMENT <br /> '. 600 E. Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: C u tj h T P 1.� re 9 6 5 y 71 s-k Date: 3 31,G� <br /> Address: 9S <br /> 0 C C 1 G.' n City. G Zip Code: <br /> ph <br /> rk <br /> Owner/Operator: U Telephone: <br /> vl/ 1 S flab b.r <br /> Program Element Code: Program Record ID: p Q S 2' (4 <br /> 4 J / Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No / Reinspection On or After: <br /> OBSERVATIONS AND CIORRECT4t6C• 3ONS ) ... <br /> v i gas a S <br /> Nd ✓ • 6I 4Io S <br /> Pr TOC/ oil 'M <br /> Q u n fah C l;•rli S. <br /> d Y fr✓ Pr s <br /> Item/Location 'Sem 7 f Item/Locatlen= "' �:r.__ y • k. Item <br /> __ l kJal:aBofi. -•:: ;x T6m'f.-.,� <br /> F;� I ti : <br /> Food WiiltyCertification " Facility.Hot WMcmTempet0ture,` '' ° ""_ -�Weiewasr! ,7 <br /> Name: Hand Sink: °F Chlorine: ppm Heat: °F <br /> Exp.Date: arewashing Sink: °F lQuat.Amm. ppm Other: ppm <br /> ENVIRONMENTAL HEALTH AND SERVICE CHARGE FEES ARE AUTHORIZED BY RESOLUTION OF THE SAN JOAQUIN COUNTY BOARD OF SUPERVISORS. <br /> ALL DOCUMENTED CRITICAL HEALTH VIOLATIONS OR REPEAT VIOLATIONS ARE SUBJECT TO A REINSPECTION AND REINSPECTION FEE. <br /> Received By: //• / Title: <br /> EH Specialist: oW'�Of Phone: <br /> Time In: Time Out: <br /> • 3 � (",4// Page: ---)- of� <br /> FHD 16-23(2ND PG) FOOD PROGRAM OIR <br />