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o¢avi"•• SAN JOAQUIN COUNTY <br />a ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siaov.org/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />/P7 Dc A <br />e -7 <br />Date: I Z3 <br />Address: 2010✓ <br />City C� h Zip Code: Za <br />Owner/Operator: <br />Telephone: <br />Program Element: <br />! 2 ! Program Record: -S <br />l� <br />Lf I Inspection Type: tom_ <br />/ <br />SB180 Posted Ye <br />No Permit Posted a No <br />Re -Inspection on or After: <br />bjjflVAT10NS AND CORRECTIVE ACTIONS ' <br />— Qiin <br />s-clts <br />wkplell,,h C <br />/Rjp U O • <br />_FII <br />�s 2oz3 oh <br />I s - <br />:.:jjjfi'#ern /Location. - <br />Food Safety Certification <br />Facility Hot Water Temperature <br />Warewashir <br />Chlorine: ppm Heat: `F <br />Name: <br />Exp. Date: <br />Hand Sink: <br />'F <br />arewashing Sink: <br />'F <br />uat. Amm.: ppm <br />they: 'F <br />Received By / Title' <br />EH Specialist:• <br />Q/% o` <br />Phone� /_ L? 3 S <br />ime in: <br />Time Out: ; S "P Page of i <br />EHD 1624 (V pg) CN13 FOOD PROGRAM OR CONTINUATION <br />