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Pa"t" SAN JOAQUIN COUP <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.sigov.org/ehd <br /> �l FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ; J;� Date: oe I <br /> Address: 0 City: Zip Code: <br /> Owner/Operator: . 7-el-7 <br /> �� Telephone: /.�f�` <br /> Program Element: Pro ram Record: ; In ection Type: .lJ� <br /> SB180 Postedes No Permit Posted Ye No Re-Inspection on or After: <br /> � gg !III <br /> ©IQs <br /> gat <br /> u d O <br /> �v?ricesCa6ZU%4Aft, 4-A JO 0 7114. <br /> Item/Location Temperature y ,I .` Item 1 Location Temperature <br /> kk ��' fcc* L Z1 u <br /> O�F d <br /> owa <br /> ood Safety Ceriffication, � Facility Hot Wa#er Temperattlte �' W'arewashing <br /> --- e _ <br /> Name: Hand Sink: <br /> C &I'L, o Chlorine: - Heat: <br /> `C F 7f � -Ppm F <br /> Exp.Date: Warewashing Sink: ,y of Quat.Amm.: PPM Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: r^ <br /> � <br /> •• tJ <br /> Time in: 0 r ' Time Out: r � Pag of <br /> EHD 16-24 (2n1 pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />