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oP41'" SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> • ... - iP• Telephone:(209) 468-3420 Fax: (209) 464-0138 Web:www.segov.org/ehd <br /> 9()jopit� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: _ ��( U�Z Date: <br /> ddress: p <—Ie l /e Y City: Zip_ C Zip Code: J 2� <br /> Owner/Operator: J A TCS Telephone: <br /> Program Element: /617,—jProgram Record: 9 ,a 0 6 _75 5 Inspection Type: <br /> SB180 Posted Yes No Permit Posted C Yes , No Re-Inspection on or After: <br /> ` <br /> OBSERVATIONS AND CORRECTIVE ACTIONS .. a - " <br /> �_ _:VFW <br /> "., <br /> r e r-a 4n 0--s kt r rmo rn_e_-P r r w, <br /> y,,,, s <br /> 0 <br /> r o o r <br /> Item/Location Tem erature 1 <br /> p tem/Location 1 Temperature Item!Location Temperature <br /> Fri6 r' r� - - - -- - — <br /> R) " 0- <br /> Food <br /> -Food Safety Certification Facility Hot Water Temperature Warewashing <br /> IED <br /> H d S' k: 3G of Chlorine: ppm Heat: F <br /> ate: arewashing Sink: / of Qua .Amrrl.:(( c/:N'� ppm Other: of <br /> cu (c.� <br /> Received By/Title: <br /> EH Specialist: Phone: 9653 2 81') <br /> Time in: Time Out: Page of Z <br /> /:12_0 // �f._l <br /> 5 �- <br /> EHD 16-24(211 pg) 1112109 FOOD PROGRAM OIR CONTINUATION <br />