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apa51'.rr c SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.s6gov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> [Name of Facility: 771 Date:ss: 6k meylb City: Zip Code:r/Operator: 1 1 Telephon ... -7.'am Element: G1 PrograLm_Record: Inspection Type:0 Posted 0 Yes 0 Permit Posted ❑Yes of Re-Inspection on or After: /t0 <br /> 0 I RVATIONS,ANO GQRREGTIVE ACTIONS <br /> JACJ - <br /> I Y6V1 AL t a fD o <br /> 1A WAMA 4C D VA <br /> l.ar- a4A- <br /> t <br /> vnc , vr,d a V <br /> a ::_y., y_Temperature Item ttocation <br /> !7 <br /> it, <br /> a <br /> Food Safety Certification nature Warewashing- <br /> Name: and Sink: of Chlorine: ppm Heat: "F <br /> Exp.Date: arewashing Sink: `F Quat Amm.: ppm ,Other: 'F <br /> Received By/Title: <br /> EH Specialist: ihqzdk�_ <br /> Phone: '1 <br /> Time in: 1i q0V Time Out: Cl {!LQ Page of <br /> EHD 1624 (2^ Pg) 413113 FOOD PROGRAM OR CONTINUATION <br /> �gb"363? <br />