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oPg " ' ^' . o SAN JOAQUIN COUNTY <br /> �-+ ENVIRONMENTAL HEALTH DEPARTMENT <br /> see <br /> 1868 East Hazelton Avenue , Stockton , CA 95205 - 6232 <br /> . . _ iP Telephone : ( 209 ) 46 & 3420 Fax: ( 209 ) 464 - 0138 Web ; www . sigov . org/ehd <br /> aL1 P <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility : , e JQ !4I <br /> 4 1A 4 <br /> Date . 1 <br /> Address : �LCity: Zip Code : <br /> Owner/Operator : Telephone . <br /> Program Element : Program Record : Ls Qzx) L) Inspection Type . <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After . <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 000, 000� nao�tal ^OtA a ffla*� co, LA 1100f ` AJ7 A41^ ,�..� <br /> ti <br /> Corp IMP <br /> Ito/r (i <br /> C <br /> Irk <br /> V" <br /> Item/Location Temperature Item / Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name : Hand Sink : of Chlorine : ppm Heat : ;doExp . Date : arewashing Sink . ofQuat. Amm . . ppm Other : <br /> Received By / Title . <br /> EH Specialist : Phone : ) a► <br /> ime in : VTime Out . t Page of <br /> EHD 16=24 (2nd pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />