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SAN JOAQUIN COUN <br /> W . X <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . .. — ;P• Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.se ov.org/ehd <br /> 9�%FO'Rt� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Corn ic" U kt r-(G Date: ; If 124 <br /> Address: T yD n4 City: 5 C*_16 Zip Code: 8520 5 <br /> � Iv.1 <br /> Owner/Operator: PCo./YQJd I TojnOCAG Telephone: �4�� LOCO Sip <br /> Program Element: I b 13 Program Record: V1�05 22 bgCI Inspection Type: (AA 1.1 nje, <br /> SB180 Posted es ❑ No Permit Posted ❑ es ❑ No Re-Inspection on or After: 1L W� � <br /> x <br /> ?F ova M 'FOOd 000 W4 a OC-> 60 ,P/M (e 5 '�V\ 3© dU C' . <br /> all meS <br /> 1\ FN M 2 CcMtV1X' Sim Of Thi i(WW OTe V)MCA <br /> C(M k2L 0f_ LAW . <br /> Item/Location Temperature Item/Location Temperature' <br /> Food Safety;Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: aoci - 344 <br /> Time in: Time Out: Page of'?� <br /> EHD 16-24 (2nd pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />