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SAN JOAQUIN COU Y <br /> < <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> N: <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> 4L/FO'Ra <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: )'Ylk, q'Re +CL.J" rl+ Date: 2_a5—/5 <br /> Address: a f i t'�,L V-Q City: +0C.K-+;D h Zip Code: 2Q7 <br /> Owner/Operator: 4046;- I I -Feri-5 I D LaL- Telephone: 961 <br /> 7_30?f <br /> Program Element: I�o2�e Program Record: P Q d Q 1?6 pe:Qr <br /> SB180 Posted Yes No Permit Posted Yes No Re-Insplection on or After: <br /> x � <br /> x <br /> -OBSERV D C(C3RRECT)VE AG3IQNS <br /> ----- .............. <br /> !� L <br /> .......... , --!e <br /> cl <br /> - R-- <br /> a F s z-a -re Jti fi moo.- —eL-� <br /> b cI _ <br /> —_..5......._...............-- <br /> itemlLocation Temperature Item!t_ocatwn n - �Y Temperature <br /> 17 ------------ <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: -F <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: . .� <br /> EH Specialist: Phone: <br /> Time in: Time Out: Page [of <br /> G <br /> EHD 16-24 (2^"pg) 4/3,13 FOOD PROGRAM OIR CONTINUATION <br />