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SAN JOAQUIN CC TY <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 /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: W)S I Con S IALV-n Nh f) Date: <br /> Address: 2q00ArAVAkrrA <br /> wa City: (66Ri—AnA Zip Code: / c�a0(�- <br /> Owner/Operator: CFrU Telephone:(04q_1�0 <br /> p <br /> Program Element: 03b <br /> Program Record: 7 (5 (P Inspection Type:7-OTIG- <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> cVN-IU NOW iFAon s 02Ar lh (00 6ONJIG <br /> 1iz,+ � cry .e, U►.t SinK �S is i <br /> N e'lUr1 - Q CL G <br /> 6� .* 9-Acv <br /> dre <br /> hem/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: and Sink: UG "F Chlorine: Ppm eat: `F <br /> E:p.Date: arewashing Sink: 'F uat.Amm.: PPM ther: 'F <br /> Received By/Title: <br /> b <br /> EH Specialist: Phone: G <br /> Time in: Time Out: :r�/ Page of <br /> D� <br /> EHD 1624 (2-Pg) 4013 FOOD PROGRAM oIR OONtIN A'rm <br />