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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.sigov.org/ehd <br />�/FUR <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: J 1, tf- ; Z _ Date: 1 _ (ot _ 23 <br />Address: 5 1 2 \ City; Zip Code: '1 S 33 Z) <br />0"AO = Telephone: <br />Owner/Operator: 10"A0 <br />Program Element: 1 b24 Program Record: S y o' �t Inspection Type: ; r� <br />1 <br />B180 Posted Yes No Permit Posted Yes No Re -Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />vc- <br />�e <br />(es VSA <br />1 0�_N5 "- C <br />\ \ to of <br />` S — <br />2-rA 3ak i Zo kc', so.la.d 60',A '13 <br />`pine\es w;n s 3b " I\ cow ;f\,k 13 <br />12 CANe e ,'O ' _ 2� <br />e <br />(_ <br />or elF;e\d 2 6 r�,,\,e„ 'Ole e1d- r�� n wzsz <br />- - <br />Item/Location --� Temperature <br />\� t (�- 1— <br />— - - <br />[_. Item/ Location - . Temperature <br />2d �e1��eVs <br />-_ - - <br />Foo d fety CertifPcation _. I Facility. Hot Water Temperature Warewashing <br />iChlorine: <br />Name: Hand Sink: � ^ 'F <br />OAC .n� ��1�� '\�\ I !� <br />PP m <br />iHeat: `F <br />Exp. Date: 5 _ � y _ 2_L1 Warewashing Sink: 1 3 of <br />oust. Amm.: PPM <br />Other: �F <br />Received By/ Title:,t9'/ n h <br />EH Specialist: Phone:3�Z5 <br />Voyy <br />ime in: 02'. r� Time Out: 1 PagAZ <br />EHD 16-24 (2^ pg) 4013 1 1 FOOD PROGRAM OIR CONTINUATION <br />