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P•.°...'." " SAN JOAQUIN COUNTY <br /> o ... c <br /> W .. X <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �;.., �;;P• Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.s*og v.org/ehd <br /> <<FOR <br /> Foog PROGRAM OFFICIAL INSPECTION REPORT. <br /> Name of Facility: kmn&*A pop`YY� Date: <br /> ddress: City: Zip Code: <br /> Owner/Operator: vA r9_ Telephone: q Os_—(S ,-/ <br /> Program Element: '-Program Record: ( ) 0 Inspection Type: J <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 0,0 11-17 MY DY <br /> Ite Temperature Item/Location Temperature <br /> ILL_ <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: 'F Chlorine: ppm Heat: 'F <br /> Exp.Date: arewashing Sink: °F Ouat. Amm.: ppm Other: 'F <br /> Received By/Title: <br /> EH Specialist: Phone: ✓ <br /> ime in: Time Out: Page lof J <br /> EHD 16-24 (2nd pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />