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SAN JOAQUIN COUNIO <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.s*gov.org/ehd <br /> �IFORN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: (/c E�� Date: 5- <br /> Address: - fAjv <br /> UU ,,,jV�f City: Zip Code: <br /> Owner/Operator: � Telephone: <br /> Program Element: i/6 .� Program Record: 13 Inspection Type: /_� <br /> / <br /> SB180 Posted �Qes a No Permit Posted j�Yes No I Re-Inspection on or After: �( <br /> >Qes <br /> AND CORRECTIVE ACTIONS <br /> �Ma l 1 Fri" e w <br /> d ;rk 3- Cry nfC rS ki <br /> o — Corr✓•e c I <br /> Ntci,-rl (ooh u a C^ d '51)9 L -ems <br /> a S - <br /> (0 Id s <br /> gr�14 — O & was -- d <br /> Item/Location Temperature Item/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: , OZZ 4- Hand Sink: G v:-- of Chlorine: ppm Heat: of <br /> Exp.Date: _ ar ashing Sink: /� of Quat.Amm.: ppm Other: of <br /> Received By/Titl <br /> EH Special! Phone: <br /> Time in: Time Out:/ s Page of <br /> EHD 16-24 (2nd pg) 1/18/12 f FOOD PROGRAM OIR CONTINUATION <br />