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O p ...�" SAN JOAQUIN COUNTY <br />)°".......0 <br />X ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sb-qov.org/��e� <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />N-,1 <br />U W11 (�c t <br />Date: <br />/_ Vi W <br />Address: <br />*3-1 vh <br />S &on i Ga� n City: <br />q zxy-AV�4 Zip Code: <br />� r�..� ^ ( <br />�U <br />Owner/Operator: <br />N Ck <br />SyhU ' <br />Telephone: <br />I <br />Program Element: <br />bI� <br />Program Record: �rj 1 Z C <br />�`– <br />Inspection Type: <br />n� <br />B180 Posted <br />❑ Yes 11Rermit Posted 1]Yes ElI <br />Re -Inspection on or After: <br />Received By / Title: <br />EH Specialist: <br />Time in: <br />EHD 16-24 (2^d pg) 413113 <br />OBSERVATIONS AND <br />Facility Hot Water <br />Hand Sink: <br />arewashing Sink--.— <br />Received <br />ink: <br />Item 1 Location Temperature <br />rmperature --a� Warewashing <br />F Chlorine: ppm Heat: °F <br />oF Quat. Amm.: ppm iOther: of <br />Phone: <br />Time Out: , Page f <br />FOOD PROGRAM OIR CONTINUATION <br />