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4--r <br /> -t <br /> SAN'JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.si4ov.orq/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTIONREPORT <br /> Name of Facility: '•� 1 ,,f\ �.� �Cr - .�G� t Date: <br /> Address: 2 �j - F City: Zip Code: �q <br /> Owner/Operator-. ;7 \ ,� ^ �, ! `, �- .. , J', Telephone: <br /> rogram Element: 1`A Program Record: JH�`71 2 Type:Inspection <br /> rc• {" . e <br /> 13180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: 1 <br /> ` OBSERVATIONS AND CORRECTIVE ACTIONS w '' <br /> 1 1 ,1� L� - �•nJ�i - �_ 1 a <br /> 1 <br /> l 1 ^ <br /> t <br /> 1 1 ' <br /> r - <br /> Item/Location' Temperature Item!Location Temperature <br /> .y <br /> Food Safety Certification Facility Hot Water Temperature Warewashing v <br /> Name, and Sink: 'F Chlorine: ppm eat: "F <br /> Exp.Date: Earewashing Sink: "F uat.Amm., ppm her: "F <br /> Received By/Title: ii,j <br /> EH Specialist. r _ ` Phone: , �t T •} <br /> Time In: Time Out: Page l. of <br /> EMD*24 (2ie p¢) M13 1 ` FOOD PROGRAM OIR CONTINUATION <br />