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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARiWENT <br /> X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sqqov.orq/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT i2/O 4 <br /> Name of Facility: I? Date: <br /> c(� V-e('t CA U r,()T)�- <br /> Address: I Ci lb'�- t )-�o City: r)C tO 4-) Zip Code: <br /> Owner/Operator: PI-act v un Cl CA Telephone: <br /> Program Element: <br /> Program Record: FInspection Type:t 0 <br /> in eG� <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> ----------- <br /> .............................................. ------- <br /> ................................................ <br /> CA <br /> ....................... <br /> ...................... <br /> ................. <br /> ................ <br /> ................ <br /> ........................ <br /> ( -7 <br /> cq ------- <br /> Item/Location -.--11T-Perature Item/Location [Jemperature <br /> .............. ----------- <br /> —............................... <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Hand Sink: -F Chlorine: ppm Heat: `F <br /> Exp.Date: Warewashing Sink: F lQuat.Amm.: PPM Other: of <br /> a':-z I <br /> Received By I Title: <br /> EH Specialist: ( Phone:- q 4 -3 A <br /> Time in: Time Out: ` <br /> 0 <br /> 10 Page I'. 1 <br /> EHD 16-24 (2^ pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />