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atR"'"• t SAN JOAQUIN COUN . f <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: f� Date: 2 710 <br /> Address: rl/1 N f— City: Zip Code: <br /> Owner/Operator: l Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> 6180 Posted 0 Yes 0 No Permit Posted 0 Yes 13 No !/ - Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> rud r h ice✓ <br /> r g <br /> Iry d Ll r"M G - e ofG ✓ <br /> r/ 47'- <br /> IM/{111 tj <br /> /If o( ✓ Gi H <br /> h <br /> Iten✓Location Temperature Item/Location" Temperature ttem/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: eF hlorine: PPrn Heat: eF <br /> Exp.Date: lWarewashing Sink: eF uat.Amm.: PPm her: eF <br /> Received By I TR1 . <br /> EH Specialist: Phone: 92W Z77TT <br /> Time in: r Time Out: Page of <br /> EHU 1623(2b pg) 11106108 FOOD OR CONTINUATION <br />