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SAN JOAQUIN COUNTY( <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> >•tsa�;' Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Tr oI ( —F((A C K G d N +d 3 UDate: 6 2 <br /> Address: 3 9 4 0 j City: Tr r Zip Code: 3 Q y <br /> Owner/Operator: C Telephone: <br /> V� n b 32-Sou( <br /> Program Element: 'I ' Program Record: 6 aL Inspection Type: <br /> b <br /> SB180 Posted ❑Yes ❑ No Permit Posted Yes No Re-Inspection on or Atter: <br /> OBSERVATIONS AND C , E ACTION <br /> All I,; of fec ie'j 7 <br /> Food Safety Certgicati Facility Hot 1f ter Temperature, <br /> Name: Hand Sink: of hlorine: PPm t: 'F <br /> Exp.Date: arewashing Sink: 'F r <br /> uat.Amm.: Pent r: 'F <br /> Received By/Title: <br /> H Specialist: Phone: ig r 3 y <br /> me in: Time Out: Page of <br /> EHD 1624(2-pg) 1/18/12 FOOD PROGRAM OR CONTINUATION <br />