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SAN .JOAQUIN COUNTY <br /> ).•' '•.p6- <br /> XENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.s'4ov.org/ehd <br /> {�FpR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: `7`fq OSaf � City: Zip Code: <br /> Owner/Operator: FCTelephone: <br /> c <br /> Program Element: J Program Record: OS1 S1_ Inspection Typ <br /> V61-80—posted ❑Yes ❑ Rermit Posted ff [[44❑Yes ❑! Re-inspection on or After: <br /> TI A I0. R�KKIIVE A "ONS <br /> { .9a <br /> F1x cx . <br /> -e� �►n <br /> �k .yA <br /> do D►' - <br /> '.-r,6"W r�y,..:9�y 7 t:k — — <br /> . 1�.F . 16 C <br /> 71'C -4 7rC <br /> r ".rH'3.'•!." <br /> n,-. k>r E:] <br /> 170'F 67a.'#�w� ® 170'F <br /> WmNc-u 4x 77°C laf.+V".,'4 77'C <br /> :'i flyC1--0 180`F Q ..- u rare-'hoA � SgQ•F <br /> IWC 82'C <br /> #Letlrft flC tic n 7 + � I °t atkl3n Temperawre <br /> 'vlo aV - a d IQ A(h -•r[,r� r� o([G� Olc <br /> -- <br /> _j --- _ ------ westing <br /> Name: Hand Sink: 'F Chlorine: ppm Heat: `F <br /> Exp.Date: arewashing Sink: AF Ouat.Amm.: ppm the,: aF <br /> Received By 1 Title <br /> EH Specialist: C- Phone: t� <br /> time in � <br /> - --Time Out: J Page of <br /> EHE 16-24 (21 pg) 413113 F000 PROGRAM OIR CONTINUATION <br />