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" SAN JOAQUIN COUR <br /> Z< ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.s*gov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: e-(� Date: 3_ <br /> Address: y �2Q -,City: <br /> e Zip e: <br /> Owner/Operator: 1 nA \ Vv, ( Telephone: v O <br /> Program Element: Program Record: S: .7 Inspection Type: v <br /> B180 Posted ' Yes ❑ Rermit Posted es P. I Re-Inspection on or After: <br /> 'v�&d <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> rr <br /> ` 1 - <br /> (OL 2nkS <br /> I <br /> Item/Location Temperature Item 1 Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: arew shing Sink: of Quat. Amm.: ppm ther: of <br /> Received By/Title: <br /> H Specialist: - 1 _ Phone: b <br /> Time in: Q 1� Time Out: �� Page�f <br /> EHD 16-24 (2n°pg) 413/13 FOOD PROGRAM OIR CONTINUATION <br />