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PgUtN SAN JOAQUIN COUN'i . <br /> N: x <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • cq.. iP• Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sj oq v.org/ehd <br /> <<FORN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: C,ru.�5 �� Y, Date: (�— _ G S <br /> Address: City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: t.,r—a Program Record: S V-7 Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> SERVATIONS AND CORREC E ACT ONS <br /> tb ,s <br /> C� 5- Z <br /> Item/Location Temperature Item t Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: °F Chlorine: ppm Heat: F <br /> Exp.Date: Warewashino Sink: 'F Quat.Amm.: ppm Other: 'F <br /> Received By/Title: ^ ' <br /> EH Specialist — Phone: -0c, _ <br /> Time in: Time Out: Pag of <br /> EHD 16-24 (2"d pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />