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SAN JOAOUIN COU t <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'gov.org/ehd <br /> Li Foaa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 77( -4-1k kZ 2,--( Date: <br /> Address: ' j" I City: Zip Code- <br /> Owner/Operator: DxG Telephone: • <br /> Program Element: 2Program Record: /' Inspection Type:/qqI�1,� <br /> SB180 Posted es No Permit Posted es No(/ Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS®ILZr n int <br /> -y��✓Vt, (, tl i <br /> Item/Location Temperature' Item/Location Temperature <br /> VV <br /> �l 'L'Yvwl11F- <br /> c <br /> Food SafetyCertification Facility ility Hot Water Temperature Warewashing <br /> Name: ✓u�� �, Hand Sink: �F Chlorine: Ppm Heat: �F <br /> Exp.Date: , ,p `�� arewashing Sink:� of Quat. Amm.: ppm Other: 'F <br /> Received By/Title: V <br /> EH Specialist: Phone: — ff <br /> 0� <br /> Time in: Time Out: Page'Df <br /> EHD 16-24 (2n^pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />