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SAN JOAQUIN COUNTY <br /> r ' ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . Telephone: (209)4§8-3420 Fax:(209)464-0138 Web:www.sioov.oro/ehd <br /> 4<I d 6kt'l <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 5I Eft <br /> Date: <br /> ddress: City:IN Zip Code: <br /> Owner/Operator: !� ` Telephone^' <br /> A- C-V&vA5eAtk <br /> Program Element: 1f_IIJJ 7f- Program Record: O;; Inspection Type: <br /> SB180 Posted Yes o Permit Posted es No Re-Inspection on or After: <br /> OBSERVATIONS"AND CORRECTIVE ACTIONS <br /> 8 <br /> avy2 tai <br /> cjU J t <br /> Cc/.&. <br /> Ij <br /> Itemll-ocation Temperature Item I Location Temperature <br /> Food.Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: and Sink: OF hlorine: PPM eat: OF <br /> Exp.Date: arewashing Sink: OF uaL Amm.: PPM ther: "F <br /> Received By/Title: <br /> EH Specialist: Phone: -U(1— rA <br /> Time In: Time Out: _\ Page of <br /> EHD16-24 (2n0pg) 4!!113 FOOD PROGRAM OIR CONTINUATION <br />