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SAN JOAQUIN COUNTY <br />xa��a <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />• cq., N`b.Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.s'aov.org/ehd <br />�tFOR <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: - <br />- <br />Date: r: 2 <br />Address: Q <br />- City: <br />Zip Code: <br />mac, <br />Owner/Operator: TeMAy—Telephone: <br />v`- <br />Program Element: bl <br />Program Record: 0 /n o 6/2 3 4 I <br />Inspection Type: <br />SB180 Posted Yes No <br />Permit Posted Yes No <br />Re -Inspection on or After: <br />' <br />- FiVATIO RRECTI <br />�t ;' v <br />a. s l k• o f 1�d LJ <br />� l <br />Jvi <br />lid 6, <br />c <br />3q&r <br />L D _ <br />l a - <br />t <br />/N �/:S <br />v <br />11ein1Loca"fio <br />empereture' <br />"ature- <br />tea_ <br />too'w <br />3 <br />.cod SatetyCertlfica_ <br />Name: �: , �Yu,�j r+1Gl�tti <br />Hot Water Temperat <br />Hand Sink: I <br />of <br />hlorine: ppm Heat:n-F,.iExp. <br />Date: i-arewashing <br />Slnk: �Z <br />=F <br />uet. Amm.: ppm <br />her: <br />Received By/ Title: <br />a <br />EH Specialist: i --- <br />Ph <br />e: <br />Time in: om <br />Time Out: Page of <br />EHD 16-24 (2o0 pg) 413(13 FOOD PROGRAM OIR CONTINUATION <br />