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e� V <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> •. ;� Telephone:(209) 468-3420 Fax: (209)464-0138 Web:www.s' ov.or lehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: e Date: r_r <br /> Address: I ,Z.3 0 Vj K tJ-Htvyta n City: 5+0 C k+ Zip Code. 952Lf 0 <br /> Owner/Operator: 5t tt p � r h+ ��G Telephone: <br /> 369 _13(p <br /> Program Element: 1(.00 Program Record: C`o "J -b5 ZO Inspection Type: Ea�•t.�f- <br /> SB180 Posted Yes ❑ No Permit Posted es C] No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> ocz�h. �h t - o n t=o nc! o` Goch ro�cY1 in Y-W <br /> rte-!- n Lt'v lit `'" t� of KI <br /> YR r C4!:)vo-irs b t 1-2-► <br /> S �� a d bser <br /> C31C.'>~ Q- LLQ rZt� LkDVL-V CL5 CAu3Q Y— d rn <br /> h O T L C.t'e? G rh cif r-c cc rc,s c mct Y . <br /> ID 7E. <br /> Item/Location Temperature item I Location Temperature Item I Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: 'F Chlorine: Ppm Heat: 'F <br /> Exp.Date: Warewashing Sink: 'F Quat AAmm.: ppm Other: 'F <br /> Received By!Title: <br /> EH Specialist: r_ Phone: 7 <br /> ime in: Time Out: Pagi of r <br /> fD; ` U: 50" <br /> EHD 16-24 (2^1 pg) 419112 FOOD PROGRAM OIR CONTINUATION <br />