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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> •. p Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> 'uaaw�: <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: A NW Date: 777-77 <br /> Address: City: M Zip Code: ,t <br /> Owner/Operator: p p Telephone: <br /> Auri <br /> Program Element: -5,6 G Program Record: Inspection Type: <br /> 8180 Posted a No Permit Posted Yes o T%os-L .w() Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> L � <br /> — + <br /> ItemlLocation Temperature - Item I Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: and Sink: 'F Chlorine: PPM Heat: "F <br /> Exp.Date: lWarewashing Sink: "F uat Amm.: Ppm her: 'F <br /> Received By I Title: 7- ' <br /> HSpecialist: - Phone: 46a_ O <br /> Time in: Time Out: Page of <br /> If <br /> EHD1624 Q-pq) ON13 FOOD PROGRAM 01R CONTINUATION <br />