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C <br /> SAN JOAQUIN COUI .Y <br /> 'Op.......... <br /> � •.OG <br /> Q` ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.s'gov.org/ehd <br /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility---7 .C �C r( Date: <br /> c <br /> Address: / <br /> It;I_ Il I W ('rCWnCity: <br /> .� y• LG )l+ic Zip Code: 9 ' <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: Rcti / <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> N 9 _5_ S ; A 00 PPLBr L /Pun �� 4 <br /> DIC � �it� - C4 tact y�pnq 4; -ro' C�. f� <br /> UUU G <br /> r\d le, 0/5 a n C/ 1 (43 4 iAJger l <br /> /4i C a d332 <br /> o it 2 <br /> t a:611 I r }(A ; /1'1m G� <br /> b S e,5 r1 fci C 1; e P ; n dc, <br /> S C ree %I CKS <br /> Item/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/Title: <br /> EH Specialist: Phone: # <br /> T O <br /> Time in: Time Out: Page of <br /> 51 <br /> EHD 16-24 (2m pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />