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SAN JOAQUIN COUR_ <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �q ;P Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.s'gov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: a N_ \q_ C c_ Date: 5-�C-- I S <br /> Address: S-1 100 City.' Civ\ Zip Code: 9 <br /> Owner/Operator: ��\ Telephone: rQ <br /> �ec>� V 0 <br /> Program Element: b-207 Program Record: ,b 1 1 p1 ' Inspection Type: <br /> Vlff�oosted Yes ❑ Rermit Posted jUes ❑ I Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> C 1 VNO -Y to <br /> T <br /> y <br /> Sere 1101� \ <br /> L-100, .. <br /> 01�c LQ_ <br /> .,J 1 (s.� �-�r� 1 S--r C - sc" a <br /> — <br /> '-A'S � 3 j– <br /> ___ <br /> rc \\c �'Ati F <br /> Food Safety Certification ( Facility Hot Water Temperature Warewashing <br /> Name: - (( Har d, ink: o Chlorine: , 1 m (Heat: of <br /> Exp.Date: 2-Pk <br /> r 1 �{ewashing Sink: I 'F uat.Amm.: PPM Other: 'F <br /> Received By/Title: <br /> n <br /> EH Specialist: � Q�y 1_ Phone: %4106_0 <br /> Time in: 1 ^ �-—Y\ Time Out: `V, 1� Pag of Z <br /> EHD 16-24 (2n°pg) 41313 W FOOD PROGRAM OIR CONTINUATION <br />