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SAN JOAQUIN COLIN' <br /> aa[`� ••OG <br /> H Z< ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �q.. ..�;p Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> �IFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: S I Date: 15- <br /> ddress: 32 SS e City: Zip Code: 52 0�( <br /> Owner/Operator: CLr 5 =yl C_ Telephone: <br /> Program Element: Prog am Record: �! O Inspection Type: 9QDu+l <br /> 80 Po <br /> 61sted s ❑ Rermit Posted Yes ❑t Re-Inspection on or After: 7`C <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> I <br /> r c re-gr *F 6cxar <br /> �� P vv ark ct <br /> Item/Location „ � Temperature Item 1 Location Temperature <br /> 44 U �` c►�\k - r• `L�„ <br /> 39`F <br /> - <br /> 00 Facility Hot Water Temperature Warewashing <br /> Name: us� �4 Hand Sink: dam- of Chlorine: ppm /Heat: F <br /> Exp. Date: ^( ,r arewashing Sink: 4--t of uat.Amm.: ppm Other: �F <br /> Received By/Title: 1 <br /> EH Specialist: Phone: <br /> „., Lq -3 y <br /> Time in: Time Out: Pagqq of <br /> EHD 16-24 (211 pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />