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SAN .JOS"-,OUIN COU ' <br /> : ENVIRONMENTAL HEALTH DEPARTMENT <br /> = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Tr r u Date: <br /> Address: 2$�* Q ►-c�h � <br /> Lki City: L C �n Zip Code: 21 <br /> Owner/Operator: C 5 J c, Telephone: Ll-7 �`�6 3.7 <br /> Program Element: 1 Z4 Program Record: P R O 2 Inspection Type: <br /> B180 Posted { Yes ❑ Permit Posted Yes F I Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> uz r" two r Sbn ler. -Fca4zaA.%A a r <br /> f'1 r h r <br /> 0_J'$V OS rnA Ajas A4 k, oL+ 4i rrn-L p-F- V 34 <br /> Item/Location emperature Item f Location Temperature <br /> Food Safety Certification I Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: F (Chlorine: ppm <br /> Heat:._, F <br /> Exp.Date: War, as�g Sin • 2 of 'iQuat. Amm.: ppm Other:') °F <br /> Received By/Titl <br /> EH Specialist: Phone: n <br /> ime in: Time Out: T / Paget of <br /> , f <br /> EHD 16-24 (2nd pg) 413113 FOOD PROGRAM OR CONTINUATION <br />