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SAN JOAQUIN C(' TY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> d4c �da�p Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sogov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: U11 1 S Date: Cl2I I-i— <br /> Address: (O scb r City: zip Code: <br /> Owner/Operator: n -96vW <br /> Telephone:2k0li,r�v3. <br /> Program Element: Program Record: Inspection Type: <br /> B180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> N s bPiA i �► <br /> C(rMI G <br /> t5 2.1- D <br /> a �(,ess arc � 11 <br /> owna/v"S nu <br /> 44LCi S ccx <br /> Item/Location Temperature Item/Location r - Temperature <br /> Food Safety Certification Facility Hot Water_Temperature Warewashing <br /> Name: _ Hand Sink: "F hlorine: Ppm Heat: 'F <br /> Exp.Date: Warewashing Sink: 'F P <br /> uat.Amm.: Ppm ther: `F <br /> Received By/Title: <br /> EH Specialist: Phone: — !�.- <br /> ime in: I( '?b <br /> Time Out: 1� Pag of <br /> EHD 1624 (2 I)g) 4013 FOOD PROGRAM OIR CONTINUATION <br />