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SAN JOAQUIN COUNTY <br /> G� ENVIRONMENTAL HEALTH DEPARTMENT <br /> :< <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.s'goy.org/ehd <br /> �ir=oa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: e ; Date: <br /> ddress: v L4cn--� �Ck <br /> City: r Zip Code: 5 <br /> Owner/Operator: ap 4- - `n Telephone: <br /> l_ <br /> Program Element: 1b-Z1 Program Record: O,b1 ob O Inspection Type: <br /> SBtBU Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVA DNS AND CORRECTIVE ACTIO S <br /> `� he vJa`1\y-1- _ rn c oci e- �'1 S e d-v e Ire A-e e <br /> 1 e `'1 E or 10o 1 CAc it e c:7� <br /> C-c" r 12C : a Sc` <br /> r <br /> e_0� <br /> Temperature mperatu <br /> . r l `-'�5 ^ 2 !�: P-Ac, r c 3�1 <br /> r-Af \fi t- `t <br /> p - facility Hot Water Te ;rewash _ <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: ar washing Sink: of uat.Amm.: �l7 ppm Other: of <br /> 1 > <br /> Received By Title: 14 <br /> � `� kA55�Qk W � �L, � <br /> H Specialist:1 1 �h - Phone: 20 _ V{_ 1 \`- 7302_ 5 <br /> lme in: , 1�� Time Out: 2 1 1 Pags2of Z <br /> EHD 1 E24 (21 pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />