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a44"'"•� SAN JOAQUIN COUNTY <br />a z� ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />.. ;P Telephone: (209) 468-3420 Fax. (209)464-0138 Web: www.sigov.org/ehd <br />4CIFOR� <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: AAL <br />Ay(' <br />Date: i T <br />2 <br />ddress: " <br />f <br />k v` <br />W <br />City: <br />Zip Code: <br />OwnerlOperato1r. OAA chm <br />I <br />Telephone: <br />Program Element: 1 . <br />�( <br />P ram Record: —6 <br />Inspection Type: �Gu <br />3B180 Posted Yes No <br />Permit Posted Yes No <br />Re -Inspection on or After: <br />BSERVATIONS AND CORRECTIVE ACTIONS. - <br />L h i✓ a- ✓l <br />I VV1t� <br />Item/Location <br />- <br />- <br />Temperature <br />Item I Location `= `-"' <br />Temperature <br />Food Safety Certification <br />Facility Hot Water Temperature <br />Warewashing <br />- <br />Name: <br />__dHand <br />Sink: <br />of <br />Chlorine: ppm <br />Heat: <br />of <br />Exp. Date: <br />arewashing Sink: <br />of <br />Quat. Amm.: PPM <br />Other: <br />of <br />Eld <br />Phone: <br />Time Out: <br />Peg of <br />EHD 16-24 (2 -Pg) 413113 FOOD PROGRAM OR CONTINUATION <br />