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� a <br /> ...u`.. SAN JOAQUIN CC+_.4TY <br /> Za ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • c... ;P. Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.slgov.org/eh <br /> 4�)F�Rta <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: \ I �`l1 Date: 7 2 <br /> Address: ��1 O City:-Ty- Zip Code: � <br /> Owner/Operator: C <br /> Telephone: <br /> Program Element: 1 Program Record: L+ 2 Inspection Type: Ru_ <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> VLS V= Com( <br /> �1e 's S ) <br /> 1 s <br /> 0(2 <br /> S� <br /> _S CA - A . <br /> Item/Location Temperature Item/Location Temperature <br /> c �; 1 v 132 � -►r _ 2f� .� <br /> - <br /> e.�-_.�__ ' <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: 1 of Chlorine: ppm Heat: 'F <br /> Exp.Date: arewashing Sink: of Quat.Amm.: ppm Other: °F <br /> Received By/Title: <br /> t <br /> EH Specialist: - Phone: <br /> Time in: .2 ' 1-� Time Out: 1z 'q U Page lof <br /> EHD 16-24 (2nd pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />