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SAN JOAQUIN COUP <br /> X ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> i65W Telephone:(209) 468-3420 Fax. (209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: A_ 77 7 — Date: <br /> 7" <br /> Address: .� CD Y_'?4an _,P_ City: Z_C)C�_i� Zip Code: CK_��2— <br /> Owner/Operator: S}Nt Telephone: <br /> Program Element:,—, 1 W393 Program Recor d: M)15 Inspection Type: J)t,0T1_Q_ <br /> SBI80 Posted i Yes' No (Yt) No <br /> Permit Posted Re-inspection on or After: <br /> OBSERVA <br /> ........................... <br /> OFLing <br /> oA AlAe- U6AAS D�Q y\jn�-iN lmfa' . 'F-1A ( n wo`-* <br /> ................. .................. .................... <br /> - �R�mcm FepoTi- on <br /> Item/LocationTemperature Item I Location Temperature <br /> cc <br /> IF <br /> Name: U P Hand Sink: 0 -F Chlorine: ;Heat: �F <br /> Exp.Date: F, 2— rnrn <br /> Warewashing Sink: 1 () -F uat.A .: PPIPMMI Other: of <br /> Received By/Title <br /> EH Specialist: -4 )A--,>( Phone: <br /> G— (,�,ce� <br /> —4 <br /> Time in: Time Out: Pag62of <br /> EHD16-24(2e°pg)4/3(13 1 FOOD PROGRAM OIR CONTINUATION <br />