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A�'N•. SAN JOAOUIN CO, f'Y <br /> �°arm fob <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> q.... ,..;6 Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> 41Fdd� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: '� I u Date: (- <br /> Address: 2-� S .h 1�/ City: Zip Code: <br /> Owner/Operator: - ` �� -� �1V 1_ Telephone: <br /> Program Element: `(0Program Record: G2 Inspection Type: vl n <br /> B180 Posted YesNo Permit Posted QD <br /> No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> t S <br /> Wing Can n S <br /> Lc rr3'fl it�e �T •�y�{ v`, U <br /> /L ce ace on <br /> y of akACK 1h� <br /> � oK rsSvt� �„ tfi 2G 14� <br /> Res c <br /> 1 G1Ya� e:� Qe. lAcme i F v t �S <br /> c�ti n <br /> rPivitla 4 CM ce <br /> Item/Location ' Temperature Item/Location Temperature <br /> .. Food Safety Certification _ Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of hlorine: ppm Heat: >F <br /> Exp.Date: arewashing Sink: eF uat.Amm.: ppm they: =F <br /> Received By/Title: <br /> EH Specialist: Phone: _ <br /> Time in: /_ Time Out: •� Page of <br /> EHD 16-24 (2^Pg) 41313 FOOD PROGRAM OIR CONTINUATION <br />