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,ota •.rp� SAN JOAQUIN COUNT <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209) 464-0138 Web:www.s'gov.org/ehd <br /> �r aqa <br /> FOOD PROGRAM OFFICIAL.INSPECTION REPORT <br /> Name of Facility: S H S Z 1<39 Date: y _ \q—I <br /> Address: \---I ,--11 e- City: L Zip Code: Ot S-2-CV, <br /> wner/Operator: q ^\\ V-A.\1 J U V\P— Telephone: <br /> Program Element: \`_O� Program Rec d: --Tq 1 1_ Inspection Type: <br /> B180 Posted Yes No Permit Posted Yes No Re-inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> o�r-e C kcl " e eh .c <br /> A�tl <br /> Item/l-ocation Temperature Item/location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: and Sink: ` -F hiorine: ppm Heat: of <br /> Exp.Date: arewashing Sink: t O of uat.Amm.: ppm ther: "F <br /> Received By/Title: <br /> H Specialist: 1 I C� Phone: <br /> Time in: ! 1 Time Out: CJ C� Page of <br /> EHD 1624 (2n°pg) 4rNI3 FOOD PROGRAM OIR CONTINUATION <br />