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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 />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />— <br />Cf/'✓kms <br />Date: <br />ddress: i, 1 <br />kya4ee <br />City: J ,. / , I <br />W G� <br />Zip Code: <br />Owner/Operator: <br />`C <br />Telephone: <br />Program Element: <br />3 10 <br />Program Record: rg OS.3 Inspection Type: <br />YL.0 <br />8180 Posted <br />❑ Yes ❑ Permit Posted ❑ Yes ❑ I Re -Inspection on or After: <br />_:.._... <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />F C. <br />ItemlLocation <br />Food Safety Certification <br />Name. <br />Exp. Date: <br />Temperature Item / Location <br />-. Facility Hot Water Temperature�i <br />Hand Sink: `F Chlorine: <br />arewashing Sink: ..F �Quat. Amm.: <br />Warewashing <br />ppm ��Zher. <br />--- ppm- <br />Temperature <br />DF <br />of <br />Received By / Title: <br />t <br />EH Specialist: <br />Phone: I <br />V n — <br />3 L <br />j yi I f.Ll —3L4 <br />t <br />C' <br />Timein: <br />`I !i <br />Time Out: v <br />Page <br />Z10f <br />EHD 1&24 (2° pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />