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4Wty SAN JOAQUIN COU` t <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . �q.., a;P• Telephone:(209) 468-3420 Fax: (209)464-0138 Web:www.si4ov.orq/ehd <br /> L�FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: U i - Ere, Date: <br /> Address: City: r Zip Code: <br /> r n q5 376 <br /> Owner/Operator: _37e s s a Z Telephone: O 3 S ` v <br /> Program Element: G C Program Record: Inspection Type: <br /> 3 6 � 6C .--,I of c' t- <br /> SB180 Posted i Yes F No Permit Posted i- Yes No Re-Inspection on or After: <br /> aBS R sCt}RREGTIV A UNS . IF <br /> � #TI® M.S E <br /> Co mo I oI—% � e rii e5 q r e 0 V[ At Imp, r .. <br /> L7 s; 0 b etv w qr," <br /> is ) on A / 4 <br /> door s .11 <br /> IR C40 a <br /> s �� u <br /> Item/Location Temperature Item f Location Temperature <br /> IF <br /> Food Safety Certification 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/Title: <br /> EH Specialist: Phone: /_ y /6 <br /> Time in: G Time Out: S Page of <br /> EHD 16-24 (2-pg) 4/3/13 , FOOD PROGRAM OIR CONTINUATION <br />