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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.sogov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: , C II V— to I G30 Date: <br /> Address: \2\ S 'l -{�►� City: esI _ Zip Code: Cl z <br /> wner/Operator: "'T'� Telephone: <br /> Program Element: 3S Program Record: S�OnC1 `, Inspection Type: <br /> Set 80 Posted Yes No Permit Posted Yes No `J Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 1 2 <br /> SS Si X15)M141 z. <br /> PIC— S <br /> e 'I -e <br /> rye L: - 1 ZS <br /> \' I I r=. OQc eweLev <br /> �1l <br /> \n c�r�zR t X13 O <br /> VW r bN35 �•� 0, <br /> — – --- — - - - _ _ T- <br /> _ m re= Item/Locati_—on r temperature <br /> — <br /> lti <br /> Food SafetyCertification _ <br /> Facility Hot Water Temperature Warewashing <br /> Name: - > Hand Sink: `F Chlorine: m Heat: .F. <br /> Exp.Date: b_ U 23 arewashing Sink: `2 2 eF Ouat. Arnim.: ppm Other `F <br /> Received By/Title: <br /> EH Specialis • Phone: 2 <br /> ime in: k: N. :`l Time Out: cv J Page:9 2 <br /> EHD 1624 (2id pg) 4013 FOOD PROGRAM OF CONTINUATION <br />