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opa"I" SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> •. t ;o • Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.sogov.org/ehd <br /> 4�/FdRN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 77TOT Date: CV1412DIZ <br /> Address: + ` City: CR Zip Code: C1 C5 ` <br /> Owner/Operator: Telephone: <br /> Program Element: I�Da Program Record: F 12— �rT-t 2> Inspection Type: ckyl <br /> SB180 Posted Yes No Permit Posted Yes No lJ { Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> � r <br /> WX.PA,-IW ep <br /> S <br /> 1 v <br /> Item/Location Temperature Item/Location Temperature <br /> I <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: (Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Duat.Amm.: ppm Other: 'F <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: Time Out: I Page of <br /> EHD 16 24 (211 pg) 4/3/13 ( FOOD PROGRAM OIR CONTINUATION <br />