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SAN JOAQUIN COUN' <br /> W X <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 /> <<xoR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 1 -T--q Date: 2--31 <br /> Address: Z �� L City: Cf-W Zip Code: c 15-2-09 <br /> Owner/Operator: FLA Telephone: <br /> Program Element: ' (0O0 Program Record: CO 00 3 Inspection Type: ' <br /> 4 cok"1214 <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Q.ftS: A 1 o+ a,(- ' ad's o%ser e.d to <br /> er'c +o r d % f0*1 , �. <br /> 31D 4 <br /> r-4-_ -fy'�O_ &C-1 ,t ! r ti <br /> h d ria in,ac3 -S <br /> was <br /> r- <br /> N <br /> 0,j- givers. <br /> ,ti� '�'� r' � L' i i-. C_a� � c,�✓I vim- 'FY�rh `��eC car S <br /> ItemlLocation 1 Temperature I_.. Item 7 Location Temperature <br /> _. _. ......... _- — --- - ----- <br /> Food Safety Certification I Facility Hot Water Temperature Warewashing <br /> --- --------- _ _- __ __.. __- <br /> - -- -- _... <br /> Name: Hand Sink: "F chlorine: PPM Heat: `F <br /> Exp.Date: Warewashing Sink: 'F Quat.Amm.: ppm Other: `F <br /> Received By/Title: ' <br /> EH Specialist: Phone: <br /> ime in: ,G7 O Time Out: ' Z� Page)of( <br /> EHD 16-24 (2^ pg) 41N13 FOOD PROGRAM OR CONTINUATION <br />