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SAN JOAQUIN COUN <br /> r Z ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c4.. iP Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> /FORA <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: C e S Date: <br /> Address: I ` '5 C City: ` Zip Code: p' I <br /> Owner/Operator: \ " T\.-)� -^ J Telephone: s --7 <br /> Program Element: \v�s Program Record: S t 1`, Inspection Type- <br /> B180 Posted ❑Yes ❑ Permit Posted ❑Yes El I Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACMNS <br /> �u�rn J 01 n <br /> z 1 <br /> - <br /> 5 C' - <br /> no <br /> ry l <br /> w <br /> t <br /> C� - <br /> `-�-Q (A cow--- � <br /> w re Item J Location <br /> c \� t5Uhf - 'J�Z- \OZ- I c r- <br /> n �koO _ 1 <br /> WCL - b3-bb <br /> ct <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> - _. <br /> Name: Nand Sink: 1 �F Chlorine: ppm (Heat: F <br /> Exp.Date: ew�as g nk: ( � OF Quat.Amfn.: ' ppm Other: OF <br /> Received By/Title: <br /> EH Specialist: Phone: \-A <br /> �2 <br /> Time in: '' S<1 Time Out: � 1,r1 Page of <br /> �`JJ CI�J l <br /> EHD 16-24 (211 pg) 43/13 1 FOOD PROGRAM OIR CONTINUATION <br />