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:SANJOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 EAST MAIN STREET,STOCKTON, CA 95202-3029 T <br /> TELfPHONE:(209)468-3420 FAx. (209)464-0138 WEB:WWW.SJGOV.O'RG/EHD <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: <br /> 91-A-4 Date: <br /> Address: VTO <br /> 113 City: be � Zip Code: <br /> Owner/Operator.- Telephone�T7_qoj_ Y/ q9 <br /> Program Element:::: Program Record: 0 inspection Type: <br /> B180 Posted E Yes No Permit Posted ci Yes D No Re-inspection on or After; <br /> _OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Es24bow"16 <br /> co_ <br /> A A kilIVIM1,11 //l 31 <br /> /zo;1 <br /> ,r790 <br /> 35�k'_ <br /> Anl V V,0 <br /> 7= <br /> 04 <br /> v I v <br /> IterrV/Location Temperalure Item Location Temperature Item Location Temperature <br /> Ir <br /> Food Safety Certification Facility Not Water Temperature Warewashing <br /> Name: Hand Sink; F Chlorine: ppm.Peat: of <br /> Exp.Date: Ware-washing Sink: I 'F Quat.Amm.: ppm,iOther: of <br /> Received By/Title: <br /> I <br /> Y6 <br /> H Specialist: UPhone-. T-0-3,3 Ll <br /> ime in: '/5 Time Out: /06* 6-5 • <br /> 1! Pa <br /> EHD 16-23 (211 pg) 8/14100 itFOOD OR CONTINUATION <br /> 08114108 <br />