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SAN JOAQUIN COUN,4 <br /> a°P�o foc - <br /> '� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sogoy.org/ehd <br /> claok�' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT / <br /> Name of Facility: Y" Y I Oaf° Z�17 <br /> ddress: City: i Zip Code: <br /> wner/Operator. Telephone: <br /> Program Element: Program Reeord: Inspection Type: n-(,8180 Post Yes 0 No Permit Poste Yes _ No Re-Inspection on or After: <br /> llffa&TIONS AND CORRECJLVE ACTIONS <br /> f <br /> � - -f - SF <br /> vfti,Lur� .� ✓ q ra <br /> 11 dfmd al <br /> K i-= , <br /> ri a <br /> pil <br /> � N . <br /> WkI ✓!. <br /> .WvJet, t Cfiu v� �QGt• 1 Y6o�� {_ l�P <br /> /t t tL>�GLF <br /> - <br /> - ��1 � and cc- a ecce � lo�tw�d �h <br /> aLPkTKI 124Q <br /> DI Vvwrx ` l I <br /> t"(VV - rw nc Ta <br /> " G � <br /> Facility Hot Water Temperature ..ry <br /> Name: ;arewashing, <br /> nd Sink: -F hlorine: PPM eat: "F <br /> Exp.Date: - ink: of uat.Amm.: PPM that: of <br /> Received By/Title: - <br /> H Specialist: Phon !flax-- <br /> fr' <br /> Time in: Time Out: a.� ]P8Q9 <br /> EHD 1624 (2-pg) 112/09 FOOD PROGRAM OIR CONTINLIATION <br />