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au're. 49 SAN JOAQUIN COI : <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> s 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �4tlaeare. Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ('u 'll UG S w 3 Date: 1 "'DII S <br /> ddress: U /�52 Ciry: ,� Zip Code: <br /> Owner/Operator: �S riP Telephone:. — C0 <br /> Program Element: Program Record: hb (� 3 qn 5—� Inspection Type: "1 <br /> BI80 Posted Yes O Remit Posted f 1` ❑Yes `I.1 Re-Inspection on or After: `— <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Ste. n S \ —S <br /> O <br /> Item/Location Temperature Item I Location Temperature <br /> Food Safety Certification 11 Facility Hot Water Temperature Warewashing <br /> Name: and Sink: "F hlorine: Ppm Heat: "F <br /> Exp.Date: arewashing Sink: 'F Ouat.Amm.: Ppm ther: "F <br /> Received By I Title: O <br /> EH Specialist: I Phone: /� b <br /> Time in: 1 ; / \ Time Out: 11: 2 I `G Page f / <br /> EHD16.24 (2^pg) 4013 FOOD PROGRAM 0IR CONTINUATION <br />