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4"`" SAN JOAQUIN CG TY <br /> ,yam ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �q._ �;P• Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.siQov.orq/ehd <br /> �i ii 6W <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> 7_77Name of Facility: (� �,�- t q� Date: �`/L; <br /> Address: ,W aw-TI U rd City: �� .tul-I Zip Code: <br /> Owner/Operator: �' _ ` , Telephone:'14 _060 <br /> Program Element: I�GU1 Program Record: Co0O 4150 C61 Inspection Type: rongr <br /> C <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> G,aS ftS beetj tPcA6q fia The _StzN0 <br /> Zhu } - A 1S Ck \00F - u Sr 4-t� 2 v�- ur <br /> - - tai ti S G <br /> Item/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: �F Chlorine: ppm Heat: `F <br /> Exp.Date: arewashing Sink: 'F Quat.Amm.: ppm Other. °F <br /> Received By/Title: <br /> EH Specialist: Phone: op— <br /> Time <br /> _ime in: ( Time Out: _', _r2 Page of <br /> EHD 16-24 (2nd pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />