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• °"'" SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> e.-- ;P• Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sogov.orglehd <br /> ��,xsRa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 'IBJ 101/7 Date: -17 <br /> P?-Pw Res <br /> Address: to Z City: faC Zip Code: <br /> OwnerlOperator: -40 Telephone: <br /> IV <br /> ti L <br /> Program Element: e:Pro ram Record: Inspection Type: <br /> I;�, • cG'�c7 <br /> SBI80 Posted ❑Yes ❑ Rermit Posted ❑Yes ❑1 Re-Inspection on or After: <br /> - <br /> OBSERVATIONS ANDCORRECTIVE ACTION <br /> 1114 j— <br /> DIC 1'LCS L'� cS' 3� GI <br /> rl.i <br /> [temli ocatfnri TeineratureItemf:Location Temperature <br /> Food Safety Certification Faculty Hot Water Temperature Warewashrng <br /> Name: � Hand Sink: of Chlorine: ppm Heat: `F <br /> Exp.Date: Warewashing Sink: `F Quat.Amm.: ppm Other: 'F <br /> Received By I Titin: V <br /> EH Specialist: Phone: <br /> 6'1 - <br /> Time in: Time Out: Pag� of 1 <br /> EHD 46-24 {2^"pg} 413113 FOOD PROGRAM OIR CONTINJATION <br />