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oPa"'"'•_� SAN JOAQUIN COUNTY <br /> s� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �.. Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sioov.oro/ehd <br /> 4�IFUPa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> ame of Facility: P I A C Date: <br /> ddress: 5�2ll EL_ OxkoO 3rcity: 5. .d qe T-6tV1 Zip Code: <br /> wnerlOperator: r Telephone: 21306 <br /> Program Element: Program Record: Inspectionrt Type: <br /> 6180 Posted ❑Yes IQF Rermit Posted 0 Yes DI Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 6 c. s /vs/d e <br /> O aV Liv <br /> , /o .. <br /> co -TlV_C-7 <br /> .Temperature <br /> Food Safety Certification Facility Hot Water Temperature_.�I Warewashingt:, <br /> Name: / Hand Sink: `F Chlorine: Ppm Heat: F <br /> Exp.Date: / arewashing Sink: 'F iQuat Arnim.: PPm iOther: DF <br /> Received By I Title: <br /> EH Specialist: L/b O LPhone: <br /> Time in: /�+ B e Time Out: ry Q Page/of <br /> 7 "4 7 r L <br /> EHD 1624 (2�Pg) 4013 FOOD PROGRAM OR CONTINUATION <br />