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:I <br /> a"'"• SAN JOAQUIN COUP <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> 'vFaa� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: C C Date: �f <br /> Address: 00 V City: J aGJ zip Code: <br /> Owner/Operator: A(7 l I /,end Telephone: �z 2 <br /> Program Element: '1 VProgram Record: OP7 Inspection Type: <br /> 8180 Posted ❑Yes ❑ Rermit Posted D Yes 01 Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> (10 KAfc✓ a. ' tv' 2V11 Uk <br /> ISSI.I.f ✓vvvV �'CR G{1 <br /> ItemlLocation Temperature - Item I Location Temperature <br /> Y'CJfA.0 `BVI <br /> Food Safety Certification -Facility Hot Water Temperature ^Werewashing <br /> Name: /Ln I f/„ and Sink: v6, hlorine: PPM eat of <br /> Exp.Date: QV v 0w� TI.0 arewashing Sink: d-rl of uaL Amm.: PPM ther:\ eF . <br /> Received By I Title: - d� <br /> EH Specialist: Phone: <br /> Time in: A '3 CID Time Out: 2 Page)of <br /> ED 16,24 (2°pp) 4/3113 '! FOODPROGRAM OIRCONTINUATION <br />