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SAN JOAOUIN COON" <br /> 2' ,y <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: �� VO tS Date: -i— <br /> Address: 11�0 �AO City: Zip Code: <br /> Owner/Operator: g — Telephone: <br /> Program Element: Pro am Record: Inspection Type: <br /> D <br /> S8180 Posted Yes No Permit Posted Yes _ No Re-Inspection on or After: <br /> O VATIONS'adnammaR+F' 'diiiFACTIONS <br /> a � Rpt-✓tt S�K ln1 Kt�l �IrL�1i �-... - � -- �____-_ <br /> cwt d.'f lr. nn i bf A. � "TEN <br /> a bov cv„rdx a r e_ <br /> Pots, 1 <br /> viol rbtcc t- e A IL l <br /> amt ✓ tgQ <br /> kr <br /> P 44.4ns <br /> r <br /> its SIS . <br /> or...r 94,cn ( L u 1: wt vrn a�{�G G�cc r h <br /> K ' rtwl k,&vJ 4Ar MS AN o <br /> I fi , I— h r3 1c <br /> l C-LALi er i C-0�^' t b I C "1 <br /> Item/Location Temperature Item/Location Temperature• <br /> Food Safety Certification Facility H "`o#1Na "- Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: eF <br /> Exp.Date: arewashing Sink: 'F uat.Amm.: ppm Other: 'F <br /> Received By/Title: <br /> EH Specialist: <br /> Phone., <br /> !me in: •" Time Out: Page of <br /> EHD 16-24 (2itl pg)4/&13 FOOD PROGRAM OR CONTINUATION <br />