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a4a "I"• SAN JOAQUIN COUNTY <br /> ?a ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sioov.org/ehd <br /> �/FORS <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: A4c,/ ,6 765'jbN`,5 Date: 0 ( 2, <br /> Address: 2 ,5' EL bOR ST City` STbC o zlpcode: 9 �� <br /> caner/Operator: / Telephone: <br /> Program Element: /d Program Record:/NO-5a S zr� Awso ns Type: Rourl&Ae <br /> 8180 Posted 0 Yes 0 No Permit Posted 0 Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> /aL Sr <br /> �7ri - <br /> lSSUE /t Dk66 <br /> /N I R-T Wi45 vt/ /48655-. <br /> Ok A SS 4 E Zo 2 2 ff'Z OL4 1-k- C6 is <br /> Item/Location :Temperature : Item/Location Temperature.:, <br /> Y <br /> "ty Certification Facility Hat Water Temperature Warewashing <br /> Name: 14V Hand Sink: eF Chlorine: Ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Ouat.Amm.: ppm Other: of <br /> Received By/Title; 1pw /+ <br /> EH Specialist: f e 4*A qvi " y ill Phone: Soy — 79 a <br /> !me in: 31,'oC) A♦� Time Out: :a <br /> 5to Page/of <br /> EHD 1&24 (2n°pg) 4/3/13 �r FOOD PROGRAM OIR CONTINUATION <br /> 14 <br />