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SAN JOAQUIN COUNTY <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'gov.org/ehd <br /> v.org/ehd <br /> 4Ci�pRi+ <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: p Date: L-A -�—ZS <br /> Address: 5 City: zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: 1 p` C Program Record: S 2 Inspection Type: <br /> t)Btl3 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> S� r— 1 O l k3 12> t <br /> b� 3 <br /> c ` <br /> r-c) <br /> V <br /> �1L --- <br /> 2 <br /> Temperature Item/Locatt _ Temperature <br /> �p t_k 3 <br /> 12. " 2 Gil—= 1- <br /> 1 - s � t3�_ z1e` <br /> 2 V <br /> ety Facility Hot Water Temperature M WI—Warewashing <br /> Na me; Hand Sink: of Chlorine: ppm Heat: 'IFExp.Date: arewashing Sink; 'F Ouat.Amm.: ppm they: -F <br /> Received By I Title: <br /> H Special Phone: 2001 b k b 3C�Z�s <br /> Time In: Time Out: Page of <br /> 11 <br /> F—HD 16-24 (Z"a pg) 4W3 FOOD PROGRAM OIR CONTINUATION <br />