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L <br /> 4 <br /> SAN JOAQUIN COUNG <br /> q � ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • 4`q.....1 'ip.� Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> Ciebka <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: N4 &ea I Z a tJ Date: CYT4771P <br /> ddress: }�Urr Cj City. S JV-� Zip Code: <br /> Owner/Operator: fi-1_ al...� Y ,-� Telephone: <br /> Program Element: Program Record: Q 0[)C)(,a 2 Inspection Type: - <br /> B180 Posted 0 Yes 0 Rerrnit Posted O Yes 01 :-J Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> j no ,. Keb t n Ca - <br /> dY7 v A <br /> i <br /> a GVP rr 0 M <br /> UCn s oo os asskb <br /> Item/Location Temperature Item I Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: -F hlorine: ppmeat: 'F <br /> Exp.Date: D arewashing Sink: 'F uat.Amm.: ppm ther: "F <br /> Received By ITitle: <br /> EH Specialist: Phone: <br /> Time in: I.�, Z / Time Out: '� -, Pageof <br /> EHD 16-24 (2e pg) 413113 1 FOOD PROGRAM OR CONTINUATION <br />