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O. C <br /> Pa"'" SAN JOAQUIN COUNTY <br /> � . GG <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> N: :[ <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • c.., ip Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.s*gov.org/ehd <br /> 4L%FORla <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: v JYMi n Date: 177 :� <br /> Address: C_)I G City: �-�7X v�� Zip Code: X.7 <br /> Owner/Operator: e o hon 1 Wf Telephone: -'tA, C�I <br /> Program Element: 1 Program Record: Inspection Type: "I <br /> 8180 Posted Yes I No Permit Posted Yes o Re-Inspection on or After: - <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> G rrefl hZI Pyr i)-) + i Ofi S ► W i ntA i n a <br /> Item/Location Temperature Item t Location Temperature <br /> ....._.....---- -........... <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: F Chlorine ppm Heat of <br /> Exp.Date: arewashing Sink: `F Ouat. Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: � <br /> Time in: 12:2 T� Time Out: \7, Pagel of <br /> EHD 16-24 (2n°pg) 4/731113) FOOD PROGRAM OR CONTINUATION <br />