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SAN JOAQUIN COUI <br /> .OG <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.sigov.org/ehd <br /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 7,77 Date: <br /> Address: 1 City: �� �_ I Zip Code: 9 ZS-Z O <br /> Owner/Operator: \�C•t Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> 8180 Posted ❑Yes ❑ Rermit Posted F Yes ❑ I Re-Inspection on or After: <br /> OBSERVATIONS ORRECTIVE ACTIONS <br /> U I _ l�s,.c -i .;vim �.r vw� -A 4 L <br /> '-4— G_ 1S <br /> \ \ARL - 2 <br /> ` <br /> Teen ,;nature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name. Hand Sink: of (Chlorine: ppm Heat: of <br /> Exp.Date: 7") arewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Titl <br /> EH Specialist: Phone: <br /> Time in: -Z �` \ <br /> Time Out: v Page\ of , <br /> J <br /> EHD 16-24 (2n°pg) 4,'3/13 FOOD PROGRAM OIR CONTINUATION <br />