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oP441ry. SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> N <br /> n 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> d•.. ;6 Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sogov.orolehd <br /> 'yy a o AN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: M Date: (Z 77 <br /> ddress: e - City: Zip Code: ryr <br /> 0wnerlOperator: Telephone: <br /> Program Element: 8 Program Record: Q,r Inspection Type: <br /> SB180 Posted Yes o Permit Posted Yes o V 7 Re-Inspection on or Aker: <br /> OBSERVATIONS AND'CORRECTIVE ACTIONS-- <br /> SU <br /> 1 1 q <br /> 66 <br /> VO yw YY�^� �11 <br /> (vim <br /> r <br /> w, Con <br /> GU - <br /> oir <br /> G <br /> Item/Location Temperature Item LLocation ,wTemperature <br /> Food Safety Certification Facility Hot Water Temperature Ili WBrewastiing�_ ___ _ <br /> Name: Hand Sink: eF Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By I Title: <br /> EH Specialist: Phone: <br /> ime in: Time Out: D CXi Page of <br /> EHD 16-24 (2^ pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />