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°;aul v SAN JOAQUIN COUNI4V-"' <br /> X ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sogov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: p p4 e 55 Date: p S- <br /> Address: / re ek s �� - City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: / Program Record: s �O/ Inspection Type: O n e <br /> SBf8ll Posted Yes a No Permit Posted Yes L No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> vv r vcyt d.elhe4, s c 1V�5 wao •t P; o to qt r <br /> V AA-z.a.' a <br /> ' W �J �Gr � - f✓r�e-cZ�- D' <br /> O s - 'PA-c OZLeLA <br /> Item/Location Temperature Item/Location Temperature Item/Location Temperature <br /> by ,e l mafv 0 O g O'F ►�Q e`Z 8/ ° <br /> 6J ;n 38 a kr-A 12c'-w o" AM 14r" <br /> Fbod Safety Certification Facility Hot Water Temperature' Warewashing <br /> Name: Vf A4Hand Sink: D ofChlorine: ppm Heat: •p <br /> Exp.Date: Warewashing Sink: of Lluat.Amm.: aQ0 ppm Other: eF <br /> IE <br /> eceived By/Title: QA <br /> H Specialist c�� Phone: <br /> Ime in: Time Out: I 38®- Page of <br /> 1 <br /> EHD 16-24 {2^ pg} 1118112 FOOD PROGRAM OR CONTINUATION <br />