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PQ"I" SAN JOAQUIN COUN1 Y <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �;../F ;P Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.spgov.org/ehd <br /> � ORN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: S S2vcx Date: — 2,1 <br /> Address: - City: Zip Code: <br /> Owner/Opera a f__ _ ? Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> S6180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONSZZ <br /> - <br /> G � 5 <br /> C <br /> o> \ n <br /> Y 1 <br /> -was A <br /> r R ^ J\ Y'dLIL <br /> C t S <br /> z � <br /> ,-- <br /> Jtem/Location Temperature Item Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Tit <br /> EH Specialist: Phone: O 6— <br /> Time in: qs3© Time Out: �2 n�/ �l Page of <br /> EHD 16-24 (211 pg) 413/13 , !�/' FOOD PROGRAM OIR CONTINUATION <br />