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a¢` `''" SAN JOAQUIN COUN'_ <br /> ?a ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> acFi:oRN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 0 C <br /> Date: Cr r r(3. <br /> Address: City: r Zip Code: G2�,Lj 0 <br /> Owner/Operator: L 2_3 9 �� Telephone: <br /> Program Element: Program Record: Gd Inspection Type: <br /> i Goo <br /> Ki 8-0 <br /> Posted [:Yes ❑ No Permit Posted Cl Yes ❑ No Re-Inspection on or After: , <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> lay � S'•-#-«:�eS � �-� � ,'-�• -�a <br /> bQ <br /> mu-A-ek C.evAeIv 1"s n �- CL 0.t- <br /> Filt'k e <br /> p,c v C&4,I S <br /> Item/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hat Water Temperature Warewashing <br /> Name: Hand Sink: o f Chiorine: ppm Heat: `F <br /> Exp.Date: Warewashing Sink: 'F Ouat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: r Time Out: r.� Page/of' <br /> FHD 16-24 (2o1 pg) 4lV 3 FOOD PROGRAM OIFI CONTINUATION <br />