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SAN JOAQUIN COUNTY <br /> T, .0 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> Vr <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.orp/e,tid <br /> 4FPo <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of / <br /> Facility: �,/. n t;cV c, 1 o ,f 4 2� Date: f 97 <br /> Address: 't' � ' L Cil ll tC'y D\CA C'y City: ti �Z Zip Code: P� <br /> Owner/Operator: }„61 for h W r1IF 1 cam• Telephone: � —10 I <br /> Program Element: 1 j1 "�� Program Record: ! CIO fl12 Inspection Type: ��yt i n <br /> SB180 Posted Yes No Permit Posted Yes No V Re-inspection on or After: L�"1��� <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> no COO - e"i-rnt . (� cmc' (-,V) or—f- <br /> b2G ' <br /> Item/Location Temperature Item!Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing i <br /> Name: 71�nd Sink: of Chlorine: ppm eat: 'F <br /> Exp,Date: arewSink: 'F Cluat.Amm.: ppm they: 'F <br /> Received By/Title: <br /> EH Specialist: �- Phone: r^l r C, <br /> ame in: Time Out: Page! <br /> a of <br /> EHD 16-24 (2-pg) 4013 FOOD PROGRAM OIR CONTINUATION <br />