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SAN JOAQUIN COUNTY <br /> ?a ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • .. �P• Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sogov.or /q ehd <br /> gLi'gbW <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: /( h C J U l Date: <br /> Address: vv'r Qlz. -city: //����!! Zip Code: <br /> Owner/Operato J V LL Telephone: <br /> Program Element: S Progr"Record: Inspection Type: <br /> S1318—Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> I r` <br /> - <br /> DO <br /> no -in r) <br /> - n = Pon <br /> Item/Location p em!Location Temperature <br /> Temperature _ _—. <br /> - - — ..— <br /> Warewashm <br /> Food Safety Certification F—nd -in <br /> Hot Water TemperaturI-F <br /> g__._ <br /> _ HeatChlorine: F <br /> ppmExp.Date: g Sink: Quat.Amm.: ppm Other: °F <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> ___77 <br /> Time Out: / �A((�/► Pag of <br /> Time in: c m 1. IJL f l <br /> FOOD PROGRAM OIR CONTINUATION <br /> EHD 16-24 (2n1 pg) 4/3/13 <br />