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att�K'lY. SAN JOAQUIN COON# <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> ., a• Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.orgh hd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: -n Q Date: <br /> Address: L24City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: ! Program Record: Z Inspection Type: <br /> V!rposted kYes a No Per Posted K <br /> es 0 No v !/ Re4nspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 15- 4e Y- W"r- ' <br /> 0 e Crds rn o <br /> w r Ue- 1 a( W'a (LY) cn, <br /> L S' irl�P.2 <br /> `6 a S S•�- � <br /> - <br /> 14-r,14 4 sym Y - O t4d & /07r <br /> Item/Location Temperature Item 1 Location Temperature Item I Location Temperature <br /> Oak tv� �� l � r S��S <br /> , "Food Safety Certificat on Fa�cllit Hot Water Temperature Warewashing <br /> Name: M 1,f— rLs and Sink: ey aFChlorine: ppm eat: of <br /> Exp.Date: 8 arewashing Sink: QuaL Amm.: ppm Other: eF <br /> [EH <br /> ecelved By/Title: <br /> Specialist: P e: <br /> me In: Time Out: /C,?; 3O Page of <br /> EHD 16.24 (2d Pg) 1118112 FOOD PROGRAM OIR CONTINUATI N <br />