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o�¢ul" F SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> a: .a <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> `�di 1FdN;� Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.si4ov.orplehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility; P00--- WYZ"k— f Date: Z yZ <br /> ddress: /7 City: Zip Code: �_ <br /> f <br /> OwnerlOpera or: iL- ^11 w, ;/] f n Telephone: <br /> Program Element: Program Record: s`'��U'-z— Inspection Type: <br /> SBi BO Posted Yes No Permit Posted es No Re-Inspection on or After: <br /> _ . :;.OBSERVATIONS AND CORRECTIVE.ACTIONS <br /> Pe Ix 1 - - -- <br /> - a <br /> v PF <br /> r - <br /> IN <br /> Apt <br /> — <br /> ':5 Q <br /> LA C4 Al'0 <br /> V - LV <br /> Item/Location J Temperature Item 1 Location Temperature <br /> I <br /> I <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: T ppm Heat: aF <br /> Exp.Date: Warewashing Sink: 'F Quat.Amm.: ppm Other: of <br /> Received By l Title:. <br /> EH Specialist: �'1i1 r Phone: <br /> Time in: I Time Out: Page of <br /> END 1&24 I2n°p91 413113 FOOD PROGRAM OIR CONTINUATION <br />