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SAN JOAQUIN COUP <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> --__ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.slpov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: a VVL f Date: <br /> Address: 1 (14(,Q,-- <br /> , �v��r City: 54 <br /> G Zip Code: <br /> Owner/Operator:✓ „/, VVI LFUA <br /> Telephone: <br /> Program Element: Program Record: 2- Inspection TypeIN q 11 n`TV-6 IU <br /> SB180 Posted Yes No Permit Posted es No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> )JI <br /> atl - Y1 A 0 vt uwev <br /> >! uvt <br /> Item/Location temperaturd Item 1 Location Temperature <br /> cj4(tVtm_ i/ W rill! h <br /> �� <br /> Food afety Cirtification Facility Hot Water Temperature Warewashing <br /> Name: q 0 v Hand Sink: of Chlorine: ppm Heat: y of <br /> Exp.Date: Warewashing Sink: j of Qt. mm.: ppm Other: of <br /> Received By/Title: 1 <br /> EH Specialist: 1 Phone: <br /> VIA Time in: t� Time Out: Page'of <br /> EHD 16-24 (2nd pg) 413/13 FOOD PROGRAM OIR CONTINUATION <br />