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SAN JOAQUIN COUN,-.1 <br /> a ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • c... . ;P• Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.siaov.org/ehd <br /> ,CIFOn� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: J cl C c b c c h c o l Date: /U-!S- y <br /> Address: 175 O U) A ve City: Trac rpcode: CfS3 7 <br /> Owner/Operator: Telephone: 4,30-J11) <br /> Program Element: Program Record: Inspection Type: &4 f <br /> SB180 Posted Yes No Permit Posted iXes No Re-Inspection on or After: <br /> n,_ • -aa: CORRECTIVE ACTIONS <br /> OBSERVATIONS AND CORREC �. <br /> ler. - 1 F a ICS r <br /> i nI lJ P e K.S. <br /> to r h ga.1 ba ; up . opcn <br /> s ; .1 X ! t h <br /> 1 ial 4 ;VA WPoKS <br /> u • ren <br /> C4 el, <br /> rug <br /> 14u1 110, I K q l nem er- <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name. Hand Sink: 'F Chlorine: PPM Heat .F <br /> Exp. Date: I Warewashing Sink: .,F Ouat. Amm.: �� ppm <br /> then. of <br /> Received By/Title: "'(EH Specialist: d Phone: 46rfl6 <br /> Time in: 161 . Time Out: /0 <br /> -3 Page,of 2 <br /> EHD 1824 (2m pg)4/3113 _ FOOD PROGRAM OIR CONTINUATION <br />