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SAN JOAQUIN COUNTY <br /> • ENVIRONMENTAL HEALTH DEPARTMENT <br /> W c :< <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax.(209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: G SU Date: t 4- <br /> Address: 2 (� City: ;n l.� Zip Code: <br /> Owner/Operator: v j e _1� I I r Telephone: <br /> Program Element: -Vol 15 Program Record: 2 Inspection Type: - <br /> SB180 Posted Yes No Permit Posted Q!!) <br /> es No Re-Inspection on or After: <br /> OBSERVATIONS At+l© CORRECTIVE ACTIONS , <br /> �. <br /> Item/Location 'Te►nperature Item/Location Temperature <br /> Vv <br /> Food Safety Certification Facility Hot Water Temperature — Warewashing <br /> ---- - <br /> Name: Hand Sink: t U� of Chlorine: PPM Neat: �F <br /> Exp.Date: arewashing Sink: 'F Quat.Amm.: PPM iOther: 'F <br /> Received By/Title: ' <br /> EH Specialist: Phone: <br /> Time in: Time Out: 2-0 Pagezof z <br /> EHD 16-24 (2^'pg) 4/3113 U FOOD PROGRAM OIR CONTINUATION <br />