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SAN JOAQUIN COUK <br /> y-+ ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �q.; .�;;P• Telephone: (209)468-3420 Fax: (209)464-0138 Web:vvww.si4ov.orq/ehd <br /> �/FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: %L Date: <br /> Address: H Ova <br /> City: Zip Code: <br /> Owner/Operator: „/4a 6s.,;1 <br /> v i Telephone: <br /> Program Element: A� 4� rogram Record: 6V'? -2— Inspection Type:/? <br /> 6180 Posted G ❑Yes ❑ Rermit Posted ❑Yes ❑ 1 Re-Inspection on or After: <br /> l�G <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> i c 7P 2, 11141 <br /> dN ,, — <br /> u_'o c k - r flpj'q/C- v <br /> vrc,lwG � d 'L✓- <br /> tv <br /> ttem/1 ocaGop Temperature Item l Location Temperature <br /> ��� CG► � /h � I � 7 <br /> a` _Facility Hot Water Temperature ) �� Warewashing : <br /> , M <br /> Name: / kauavvq <br /> Hand Sink. of Chlorine: ppm Heat: of <br /> Exp.Date: Q arewas Sink: of uat.Amm.: ppm Other: of <br /> Received By I Title: l <br /> EH Specialist: <br /> Time in: Time Out: T10 Page of <br /> EHD 16-24 (2°pg) 4/313 FOOD PROGRAM OR CONTINUATION <br />