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SAN JOAQUIN COUNTY <br /> ot,...... . e <br /> q` xa ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 4LjFO�e� <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sigoy.orq/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of facility: - K.ys,\. Date: <br /> Address: City. Zip Code: Gx'r <br /> Owner/Operator: Telephone: L}} <br /> Program Element: Program Record: 7-1 Inspection Type: <br /> 8180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> BSERVATIONS AM ORR VE ACTION <br /> V S. <br /> { <br /> r " <br /> r <br /> �t c 4-• L <br /> C4rLAY <br /> GG <br /> 0 <br /> G <br /> c.t QAltlleLinC4fQ <br /> Qy <br /> 0 l <br /> t. 0ki <br /> r l + B r l s <br /> �0At <br /> (h IL <br /> emlLoeation Temperature Item 1 Location Temperature <br /> Food Safety Certification FHand <br /> acility Hot Water Temperature Warewashing <br /> Name: Sink: °F Chlorine: ppm Heat: °F <br /> Exp. Date: washing Sink: °F J Quat.Amm.: ppm Other: �F <br /> Received By/Titi y� <br /> EH Specialist: � Phone- <br /> Time in: * Time Out: Page of <br /> EHD 16-24 (2m pg) 4,'3113 FOOD PROGRAM OR CONTINUATION <br />