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a �u`" SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH D)EkRTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> '•. :� Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjgoov„orQlehd <br /> 9Ll F O Ra <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: '�'uv'il Date: J7 f <br /> Address: &I I L L tlzly” ,"L ity: Zip Code: <br /> OwnerlOperator: � `v U Telephone: <br /> Program Element: If Progrfn Record: Inspection Type:IS y, . v <br /> 8180 Posted !LG 0 Yes 0 Rermit Posted ❑Yes D I Re-Inspection on or After: !✓ <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> -7 <br /> •z V-1 <br /> ` L U! _e 0 Clk- j <br /> I--d-fes U K <br /> Ift <br /> �c <br /> r <br /> ItemlL.ocation Temperature Item i Location Temperature <br /> Food Safety CeMikaban Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By 1 Title: <br /> EH Specialist: Phone: <br /> Time in: V VV Time Out: - / , Page of <br /> EHD 16-24 (2'"pg) 4013 V FOOD PROGRAM OIR CONTfNUAVON <br />