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�oPQ"'"`•.co SAN JOAQUIN COUNP <br /> w: X <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �q..•„ ..�;;P Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> �lFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: S $ Date: <br /> Address: Yoh,M; VAa� City: Zip Code: 33/ <br /> Owner/Operator: �1 ,�+ Telephone: �D <br /> Program Element: 11 C l/VP\trooggram Record: .3 Inspection Type: 1 <br /> !SB180 Posted Yes�D Ns <br /> Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> L4 t '.� <br /> s <br /> /►• �' , L <br /> Ua� <br /> ��Uo <br /> w iS — U sr#c <br /> sIP, r's <br /> a r O 5"•+ruv - `UV <br /> � � r <br /> u <br /> C Wz _. <br /> r t 'ors S i5 nr.. Ok- qR�o <br /> V 0 L +V <br /> - tem/oaaton _ T�mper�tnre ltemJLoiOn =�'- 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: <br /> Time in: .�U Time Out: Page.,of <br /> EHD 16-24 (2na pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />