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SAN JOAQUIN COUN <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.s44ov.orp/ehd <br />L�FOR <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: "�� i <br />Date: <br />V-15-1, <br />Address: City: <br />i 1 <br />- Zip Code: <br />! <br />I S-,7 7 7 <br />Owner/Operator: <br />J Telephone: <br />r -r- <br />Program Element: Program Record: <br />Inspection Type: <br />c <br />SB180 Posted /Yes No Permit Posted Yes No <br />Re -Inspection on or After: <br />EHD 16-24 (2n1 pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />Q <br />ppirr-ie4 16 <br />re <br />"S Ccl <br />r -r- <br />3 U I'd - u <br />i n h 0 a j G r <br />c <br />re s a b <br />r 01 <br />'- Cl ,r o b c, ye <br />r r C <br />o <br />S r� ;04e h&jd <br />P34 rc: d t i 0, Cr. ke -Inc &'e o <br />Item/Location <br />Temperature <br />Item / Location <br />Temperature <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />G <br />T' <br />Hand Sips : of <br />iL"(:. <br />Chlorine: ppm <br />Ouat. Amm.: ppm <br />Heat: ,:F <br />Exp. Date: <br />Wq6wAshinqng Sink: of <br />Other: F <br />Received By/ Title: <br />11616111 <br />EH Specialist: <br />Phone: <br />G r- 3/d <br />Time in: ' l; <br />1 <br />Time Out: <br />Page_ of ? <br />�= <br />EHD 16-24 (2n1 pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />