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SAN JOAQUIN COU- <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c{ IFsaaa Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sioov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: •ems Date: 7175-77 <br /> Address: ILS r uktC a� City: Zip Code: <br /> Owner/Operator: O n . � Telephone: <br /> Program Element: Program Record: 1 Sa Inspection Type: <br /> 6180 Posted Yes ❑ Rermit Posted ❑Yes I Re-Inspection on or After: <br /> -It <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> I N GI CJAO�' h 7/Lidl� <br /> Oil- PJ 1 I)q ce ! <br /> l 33 <br /> I �co�vtC&I Z4 <br /> aw / U f u <br /> Item/Location Temperature Item I Location Tem rature <br /> 1/7"AWYL11- a „ vl.0 /uMIAV <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: and Sink: 'F hlorine: ppm eat: 'F <br /> xp.Date: arewashing Sink: .F uat.Amm.: ppm ther: .F <br /> Received By I Title: <br /> EH Specialist: Phone: <br /> Time in: e N Time Out: Page of <br /> EHD 1624 (2"pg( 40Q FOOD PROGRAM OR CONTINUATION <br />