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SAN JOAQUIN COUN <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.siQov.orq/ehd <br /> ��FORa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: W0I I <br /> Date: i DPW 14- <br /> Address: I� - n1 <br /> e �-t- City: S t-,TT1 Zip Code: CrJ2 S_ <br /> Owner/Operator: w I tZe n5 f �"1 � Telephone:C11 <br /> Program Element: 0 Program Record: C �oobcolo Inspection Type: Fj rD <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: �� <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 1 Lt fiITI S MOP lir <br /> "PMq Sn IS CIfi . V\yg-f to 120 cr <br /> i 1(ot <br /> -1nr WfaO :4- 0 ,UQU TV � •U M �Ah \NQ� uCA �1t <br /> G �t <br /> AJ' � <br /> Item/Location Temperature Item/Location Temperature <br /> w Q V i n c a ole tT wq&j 4CI <br /> M Qp sink I <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Ouat.Amm.: ppm Other: F <br /> Received y/Titl <br /> EH Specialist: — Phone: <br /> Timein: Q - Time Out: :- �7 Pagi of <br /> EHD 16-24 (2"d pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />