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SAN JOAQUIN COUNTY <br /> za ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ 0 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: I (, Date: `, •, !1 <br /> ddress: 1 City: Zip Code: <br /> Owner/Operator: l tepho e:rys _ <br /> Y's rf id Program Element: rogram Record: Insoction Type: 7 <br /> SB180 Posted Yes - No Permit Posted _.Yes No Re-Inspection on or After: �cL� <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> e C iYl4a <br /> 2 <br /> c , <br /> .,tti► GJ <br /> .P ALa, <br /> 0 t <br /> f^ <br /> Item/Location Temperature Item/Location Temperature Item/Location Temperature <br /> � � a <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> LaHand Sink: of Chlorine: ppmHeat: of <br /> are ashing—Sink: of Quat.Amm.: ppm Other: of <br /> J -- r <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> ime in: r- . Time Out: DTA Page/of / <br /> EHD 16-23 (211 pg) 11/06108 FOOD OR CONTINUATION <br /> ����`� DO <br />