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o.Pa"'"• SAN JOAQUIN COUD <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �2iea ;t Telephone:(209) 468-3420 Fax:(209) 4648 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: `Z V') ( (/L Date: -1q-I <br /> Address: kOo Vj J( M,-, City: I,-l).. Zip Code: C-i 5 Z" 0 <br /> Owner/Operator: Telephone: 2 Q iCJ <br /> Program Element: , VZS Program Record: O Inspection Type: J _ `I <br /> v v <br /> BI80 Posted `KYes 0 No Permit Posted O Yes ONO Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> \ �[ 2 -Q- 0.71'" <br /> �l J r• P J � 1n� 4 1 P CSL_ <br /> '-L jr-;,4- <br /> —i-c- f <br /> ( _ <br /> 5 - .0c.." <br /> "_Izzs� _ C'a� ' n A� -1-Q_ <br /> ori �-1•e-- -�o �;. 0. D r i.�G4/ <br /> j - Rev <br /> Item/Location Temperature Item/Location Temperature <br /> Z b n-e � - ct-1 P r y <br /> u <br /> stvao\ck f- 'zz„ Q _ <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: and Sink: 1(® .F hlorine� ppm Heat: .F <br /> Exp.Date: I arewashing Sink: `� .F Puat.Amm.: ppm Other: .F <br /> Received By/Title: <br /> EH Specialist• Phone: '4 by _ <br /> Time in: ' • Time Out:0 122 1 c Page of ,Z <br /> EHD1&24 (2mpg) 4/Y13 FOOD FOOD PROGRAM OIR CONTINUATION <br /> 19> t- <br />