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• aP44!N.• P SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 8•.. ;a Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.oro/ehd <br /> •dtl F6'At' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Ale777, Date: 14�1;10'2_3 <br /> Address: to! .17 5 City: Zip Code: <br /> Owner/Operaltor: C% Telephone: <br /> Program Element: b Progra Record: D Inspection Type: <br /> '1 <br /> SBt80 Posted a No Permit Posted /Yes) No Re-Inspection on or After: <br /> SERVATIONS AND CORRECTIVE ACTIONS <br /> 00 '0In c .ch <br /> ID pAS <br /> O rle cin �H <br /> Se oSvr rovlde- S� H <br /> C C I 2 c r�e� I Wim- • <br /> t <br /> L41 r <br /> `lj' r>1 S• C2 �[� <br /> " Item/Locati, re <br /> S iv <br /> 4DateiA <br /> : <br /> . o' y C r <br /> opd Safe cility Hot Water Temperature Warewashing <br /> Z f OA� I K and Sink: �F Chlorine: ppm Heat: `F <br /> 15/1 <br /> S _ arewashing Sink: 1 aF Ouat.Amm.: ppm Other: 'F <br /> Received By/Title: <br /> EH Specialist: '� f,'7 r Phone: _2D- 6 3o3 S <br /> ime in: / 56 144 Time Out: -CJ r Page of <br /> EH016-24 (2ntl pg) 4/3113 FOOD PROGRAM OR CONTINUATION <br />