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SAN JOAQUIN COUNTI'J <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.s' ov.or /ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: W f3ay1 k <br /> Date; _ b- - Z 2 <br /> ddress: D VV_i S4-r 4r 1_i� City: Zip Code: <br /> Owner/Operator: [` Telephone: <br /> Program Element: l b 37, Program Record: Inspection Type: <br /> SB180 Posted Yes No !— Permit Posted Yes J No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Q 0( 4-e <br /> Item/Location Temperature Item/Location Temperature #tem/Location Temperature <br /> c� <br /> by w n� r c^c fiaz� <br /> D ►1,...e.&.rf-- a_ /' — <br /> Food Safety Certification Facility ffot Water Temperature Warewashing <br /> Name: /1 Hand Sink: 00 1- 'F. hlorine: ppm Heat: 'F <br /> Exp.Date: !7 arewashing Sink: 'F Quat.Amm.: ppm ther: of <br /> Received By/Title- <br /> EH Specialist: Ph n : <br /> ime in: 2 i Time Out: D s Page of z <br /> EHD 16-24 (21'pg) 1118/12 FOOD PROGRAM OIR CONTINUATION <br />