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SAN JOAQUIN COUN . - <br /> 2 Z ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.segov.org/ehd <br /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: V e m(.X -'`u n ccl Date: <br /> ddress: m r ` R City: �rn Zip Code: <br /> Owner/Operator: Mct 1. V �� i Telephone:WC.t -�3O <br /> (152 <br /> Program Element: ( � �F) Program Record: G 2 C-� Inspection Type:`�'I V wi Je <br /> SB180 Posted ❑Yes ❑ Rermit Posted ❑Yes ❑I Re-Inspection on or After: <br /> OBSE!VTNO. $ AND CORRECT!VB PTIONS <br /> 11 <br /> Oe in 1 We jz - <br /> _ <br /> the/ �O S�Pir -1h 1 w ,e el <br /> cob fi O - 1Aa i+ ft'r [ <br /> CA ns C4-:(C <br /> Item/Location Temperature Item f Location Temperature <br /> IL <br /> Food Safety Certification Facility Hot Water Temperature I Warewashing <br /> Name: Hand Sink: of iChlorine: ppm �H_eat: of <br /> Exp.Date: arewashing Sink: ofQuat. Amm.: Ppmher of <br /> Received By/Title: <br /> EH Specialist: Phone: (fin _ r c _ 3 11 <br /> time in: Time Out: I I Page <br /> �f 3 <br /> EHD 1624 (2nd pg) 413113 FOOD PROGRAM OR CONTINUATION <br />