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oc`kY.1"',..c SAN JOAQUIN COUNTY <br /> a <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �., f.a.P• Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.Sj ov.or /ehd <br /> �rxoe <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: - - Date: <br /> L5� City: !S Zip Code: S 3 <br /> Address: � 2 y� <br /> Owner/operator: � �-S� Telephone: 3 C"rq r <br /> Program Element: i .� Program Record: 1 l 2Gi Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No 1 Re-inspection on or After: <br /> O$$EA.:- <br /> '�A'FfONS.1#ND CQ.RREC'1`tVE <br /> - <br /> ��- -- _ <br /> 0'� ,,;.1 C. <br /> 1#ey flr�i tlgiT Te>lilperatt_re Item l`Location Temperature <br /> ` <br /> C_ Cls.%.�a A13'+ 3 <br /> i=oos€'Safety�eri#�cafion -.. Fac�tity Htit Vfi�#,er Tecr1{�rature Ylfarewashir�g <br /> Name: �` � Hand Sink: 1 ZZ of Chlerine:�v � ppm Heat: of <br /> Exp.Date: _ 2-1 �z arewashing Sink: -F Ouat.Amm.: ppm ther: of <br /> Received By 1 T e: <br /> EH Specialist: Phone: <br /> U <br /> Time in: 5 Time Out: , Page f <br /> I \ AEH❑16-24 121 pg) 413113 FOOD PROGRAM OIR CONTINJATION <br />