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�OPQ .C�G SAN JOAQUIN COUP. <br /> Q` ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.orq/ehd <br /> ��FORt� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Te Date: <br /> Address: I �6 y 'L 5 4, City: -Tro Zip Code: <br /> Owner/Operator: T Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> SB180 Posted i Yes i i No Permit Posted ❑Yes ❑ No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 60A J;rtA OUS l y RnlJa :t I au K l n <br /> ►l - <br /> 2 <br /> #a or ��_} r";�s_i mar S-C d;,s of ns ce- h G spol <br /> -- <br /> Item/Location Temperature Item 9 Location Temperature <br /> 4ll <br /> S Ietinn 1S3 F i,�all1-, -- �lI't= <br /> c- I K-; n �l <br /> Food Safety Certification Facility Hot Water Temperature ;",r� rt Warewashing j c N <br /> /711 <br /> Name: Hand Sink: Chlorine: Heat: °F,. Ppm 12S <br /> Exp.Date: / arewashing Sink: 'F Quat.Amm.: 24'u ppm Other: °F <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: :CJ Time Out: 3 /G Pag!2of Z <br /> EHD 16-24 (2nd pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />