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aP4H'" r SAN JOAQUIN COUN <br /> z ' ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.si-ov.org/ehd <br /> u�aq <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: F1'11-,,,),e SS Date: 0 8 - 13 <br /> Address:/090 /V /s.- City: P-i�./2` Zip Code: �s 336 <br /> (l �. <br /> Owner/Operator: ,3 e S5 Telephone: anaS vl� <br /> Program Element: / D ProgramRecord: 0c3 ci Inspection Type: <br /> 8180 Posted O Yes 0 No Permit Posted 0 Yes 0 No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> a - A/ey ola r <br /> 40 a e r& �-2•a�S ��" <br /> F•e e S / < < <br /> O`er <br /> r` 5,0 0 a4l Y� e <br /> Item/Location Temperature Item/Location Temperature Item Location Temperature <br /> 1 <br /> Food Safety Certification Facility Hot Water Temperature't Warewashing <br /> Name: Hand Sink: . of hlorine: PPM feat: 'F <br /> Exp.Date: arewashing Sink: of P <br /> uat.Amm.: PPM ther: eF <br /> Received By/Title: j <br /> EH Specialist: r. Phone: <br /> Time in: O Time Out: Page of <br /> EHD 1624 )2K pg) 11/M FOOD PROGRAM OR CONTINUATION <br />