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P41'" 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.segov.org/ehd <br /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: A/�` ca-cr �-� � Date: <br /> Address: 2 - eL 0, OR City: C_ ctn" Zip Code: 95 <br /> Owner/Operator: Telephone: 7 <br /> Program Element: 16 Program Record: � Inspection Type: ,r--f N) <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: l <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> �- <br /> ir <br /> 1°V 0 c_ V 6Vv! <br /> Item/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing ___ <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: arewashing Sink: 'F Ouat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: Time Out: Page of ` <br /> EHD 16-24 (2ntl pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br /> S <br />