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aPa,�!N.c <br />_: ,Z <br />r: < <br />,CIFOAt��p <br />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 />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />of Facility:ITAMA?. SIIMVIGe Date: O1-2dress: <br />7 <br />G�YAAIis--rCity: 5-rocZip Code: 9 2- 1 5 <br />[Name <br />caner/Operator: Telephone: <br />ogram Element: 1b 1 S Program Record: P>2.� 6 5 Inspection Type:,�uTIN�180 <br />Posted es ❑ permit Posted u res ❑ 1 Re -Inspection on or After: <br />OBSERVATIONS ANO CORRECTIVE ACTIONS <br />No A4 lit v t o _ <br />7 6 -Tile L.AS-t- lnlspEEe R nrzr »r'��1� 1 0 <br />fa O'f .4« $ LE ,b0 P-10 <br />WA T646q­rS9— -m PapVI1Di. to MIN1 U <br />Item/Location Temperature ltem f Location L. •- ttare <br />p <br />- Food Safety Certification: Facility Hot Water Temperature �._ Warewashing <br />Name: OASow STEL- 'Hand Sink: - loo of Chlorine: PPM Heat ,P <br />Exp. Date: '4- 16 - 2-3 arewashing Sink: i I + of ruat Amm.: PPM <br />1 <br />ther: F <br />Received By / Tide: <br />EH Specialist: G L -q UO 14- A1 U 2C Phone: Zoi - S C 1 ^ 89 Zg <br />Time in: I I, o g 'qrn Time Out: t Z• p s PageZf 2 <br />EHD 113-24 (2a pg) 41313 FOOD PROGRAM OR CONTINUATION <br />