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# ejoKotj&) lJ�) <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> Q: a <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> 9�IFOR� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: n (7, 7 707 <br /> Date: <br /> Address: 12. ��5� �- j City: �, (?CL <br /> Zip Code: Ct 2,/ <br /> Owner/Operator-:) I ` :56) <br /> _ I„ e?– Telephone: - <br /> ✓G I <br /> Program Element: X111. �JPP:rlo'gram Record: Inspection Type: <br /> B180 Posted J No Permit Posted s No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS N <br /> 1 c. �OA IK)', G ' <br /> L,-7LI fe&, ve- S <br /> 0'• PIA 001 <br /> e 0 e Ir &VU Qd03v <br /> W O*6',5e-✓ t (ti ^O'i'1 <br /> No w S cDee 2 e rr e h C-s <br /> w e O se-r/ued �' <br /> 01'1 —3-2 CJS CJ2! <br /> Q- Q- v, 1 r ' On -20 -�- <br /> J1 e <br /> \0D v 'rjW <br /> Item/Cocatioo Temperature Item 1 Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature ' warewastiing <br /> Name: N� Hand Sink: 71� eF Chlorine: .7 m Heat: of <br /> xp.Date: Warewashing Sink:. 1 <F V <br /> uat.Amm.: PPM ther: of <br /> I <br /> eceived By/Title: V �� �l 1VH Specialist: Phone: � — [�5 rl_f <br /> ime in: t I : Time Out: 'n OA ' �o Pege of <br /> EHD 1&24 (2^ pg) 4/3113 lJ FOOD PROGRAM OIR CONTINUATION <br /> _�2os3g q't1 <br />