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} <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209}4fi8-3424 Fax: {2d9)464-0'138 Web:www.s' ov.ar lehd <br /> 4�ikiiRi+ <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: <br /> jG t t� Qi(► Date: q�)jf O/I <br /> Address: Z� J, M u i 11 'St <br /> f City: Zip Code: <br /> Owner/Operator: 1 Telephone: <br /> Program Element: l 1(4 00 Program Record: 0 C)O Z��q Inspection Type: <br /> SS180 Posted ❑Yes ❑ Rermit Posted D Yes ❑I Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> � (ctr n� 51�� � wvr� n ►�ncrn G �� vY�.n`r �a <br /> ahc��- -�acu� '� wC�.sh-�n C:it►c�� Gr �P�ear�n kx�s <br /> - i�und s�n1� it u�-ec w t wcAAex <br /> wa h s r W C+ -fir <br /> WGCn Li V1 OU1 1 - <br /> cmfi ni. e Ao VeAndw -iN --- <br /> - ot-6 fax -u ti t <br /> Item/Location Temperature item 1 Location I Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: `F <br /> Exp.Date: Warewashing Sink: 'F Quat.Amm.: ppm Other: 'F <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> ime in: 11 -U Time Out: <br /> EHD 16-24 (2^ pg) 4013 FOOD PROGRAM OiRCONTINJATON <br />