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SAN JOAQUIN COUN' <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.sigov.or /q ehd <br /> �lFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ,e SCrTDate: �� b-o5 <br /> er <br /> Address: S 05' P0.G, ; e- ,2� City: c � Zip Code: cls Zv <br /> Owner/Operator: Telephone: <br /> Program Element: Z3 Program Record: 05"27 <br /> 5 279 b O Inspection Type: <br /> t D C� <br /> SB180 Posted des No Permit Posted V-Yes No Re-Inspection on or After: <br /> ` OBSERVATIONS AND CORRECTIVE ACTIONS <br /> - .1 �.,r ate;-� � ,- nL.r 3 �.�...�,� �� i h ��k�t�.._._.....rr-=� <br /> ---_......._ -..._s. ,s �0 day �� .._._._....... _ ..__ <br /> 504Ai4-(2or (A T GiT <br /> Item/Locatio I ,Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: T PI Hand Sink: OT o f Ch0lorine: P Ppm Heat F <br /> j 4nExp.Date: arewashing Sink: 1 ,Zed,r-'F Quat.Amm.: .700 ppm Other. `F <br /> Received By/Title: <br /> EH Specialist: IN :1 Phone: <br /> ---.—_.......... <br /> Time in: Time Out: Z PagetotZ <br /> EHD 16-24 (2^ pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />