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SAN JOAQUIN COUNTY <br /> za ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ - 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �q... ,•.NSP Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.orq/ehd <br /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �R m 6 *- L' T 7 y Date: 0/r//"M <br /> Address: 1City: S Zip Code: <br /> Owner/Operator: V-b Telephone: <br /> 1 .1 9 <br /> Program Element: !b 6 Program Record: r(—C;'-t774 0 ;5 Inspection Type: <br /> SB180 Posted Yes ` Permit Posted � No J Re-Inspection on or After: <br /> Oi.7BSERVATIONS AND CORRECTIVE ACTIONS <br /> 1 f �r <br /> s � <br /> E <br /> a ' <br /> Item/Location Temperature Item!Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: j/,�/--7 <br /> EH Specialist: jjj(� I v/�/ Phone:10 <br /> Time in: Time Out:V�1) Page of <br /> EHD 16-24 (2"d pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />