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SAN JOAQUIN COU ' <br /> : ENVIRONMENTAL HEALTH DEHARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.siQov.orq/ehd <br /> �IFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: to t,3 F <br /> Address: 6f-CGL4,LC Q 1� City: i!'��r Zip Code: C <br /> Owner/Operator: C/ Telephone: <br /> Program Element: l ? Program Record' In pection Type: �- <br /> SB180 Posted sos No Permit Posted Y)xf No Re-Inspection on or After. <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> .c Tri lZP'F zn.e <br /> 01 of <br /> 70 <br /> Af <br /> Act <br /> q pr ¢ Z'UJe <br /> /o 4 <br /> Item/Location Temperature <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: / 6-13 <br /> Time in: Y I Time Out: Page 1of <br /> EHD 16-24 (21'pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />