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SAN JOAQUIN COUI ' <br /> .c9" <br /> Z� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sogov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: V-;—' -.ya n-} Date: (G/ <br /> Address: q O S cvfco City: SC� 1�,T� Zip Code: <br /> Owner/Operator: 1h ,i ComI,n c S o L ` I v Telephone: <br /> Program Eleme .� Y�f 101 rk Program Record: Gi Inspection Type: <br /> SB180 Poste Yes No Permit Posted Yes No 1 Re-Inspection on or After: <br /> SOV i C�I"1 kJ'r 111Q � S� S 111 �.e <br /> Item/Location Temperature 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: 4 n�V 3 A d� <br /> EH Specialist: Phone: <br /> Time in: Time Out: Pag f:1 <br /> EHD 16-24 (2^d Pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />