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�W"A" 0 SAN JOAQUIN COU�Y <br /> r 'y ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> �;.. �P Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sic�ay.orC/ehd <br /> ci a=oa�' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: irer r rn f �-� ` Date: 41-10-P <br /> Address: S4. City: -T-r C zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> SB180 Posted C Yes �j No Permit Posted E Yes ❑ No Re-Inspection on or After: <br /> 08$EAVAm6N s-:AN©.CORRECTNE-ACTIONS <br /> ` !►1 j ' c a c. ! c G/fa c /J I( i n c^ev d,� IAr r� r W 1�1 <br /> Oe Ip c, "c� rri., • ., It, eI l� Cc rl rJ' c ti o Ih� r� <br /> j <br /> Item/Loca#ion - Temperature item I Location Tempermtu!i! [tern!Location Temperature <br /> Food Safety Certificaiiorr; Facility Hot Water TenlenOtEe warel Wing <br /> Name: Hand Sink: "F Chlorine: ppm Heat: -F <br /> Exp.Date: Warewashing Sink: aF Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: / _ Phone: <br /> Time in: Time Out: Pag� ot- <br /> EHU 15-24 (2'd pg) 11!2109 FOOD PROGRAM OIR CONTINUATION <br />