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----------- <br /> ------------ -- -- ------------------------ <br /> I. <br /> AVIV,% <br /> SAN JOAQUIN COUK4�7'.: <br /> X ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax. (209) 464-0138 Web:www,sogov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: J/ Date: <br /> gte <br /> -3 <br /> e., <br /> Address: City: Zip Code.- <br /> KS <br /> Owner/operator: <br /> '_qy <br /> ��c%Telenhone -0 <br /> Program Element: Program Record: <br /> Inspection Type- <br /> '_7 'X j <br /> B180 Posted [I Yes Li No <br /> L=Posted 1 Permit Posted LjYes EINo Re-inspection on or After: <br /> /OBSERVATIONS AND CORRECTIVE ACTIONS <br /> -e4tj <br /> 11,14 <br /> C,C <br /> dot <br /> 7' 144,r /I V, <br /> eAl/I <br /> _j <br /> 2 - <br /> 6.) 611A <br /> ItemlLocation Temperature:.Temperature:. Item' I Location Le e peritur�_ <br /> Food;Safety Certification Facility Hot Water.74?m perature warewashing, <br /> Name: Hand Sink: OF Chlorine: PPM Heat: aF <br /> Exp.Date: Warewashing Sink- OF Quat.Amm.: PPM Other: OF <br /> j <br /> Received By/Title: <br /> EH Specialist: Phone a 33 <br /> Time in: Time Out: /0a � <br /> Page f F) <br /> 1 1 d- <br /> EHD1&24 (2"'pg) 4/9112 FOOD PROGRAM CIR CONTINUATION <br />