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SAN JOAQUIN COIL <br /> a <br /> N: :t ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �q... „•.�;;p Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> <<FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 1'l �[.G Date: 3-10 -15 <br /> Address: Z�so,5 Q�+ City: C Zip Code: 5 Z <br /> Owner/Operator: 1 na� t _� IC C� Telephone: <br /> I'f �--R 4657 <br /> Program Element: ' a u Program Record: D 6 3(6O g Inspection Type: �wh� <br /> B180 Posted les ❑ Rermit Posted f Yes ❑1 Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> �C- IPG -;tatio <br /> U .1 FTRc74 7-2, Y- H ¢v 319Z $ 8 <br /> 01 <br /> D'& Y-0 r- .-o /5 <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: Warewashing Sink: OF Quat.Amm.: ppm Other: OF <br /> Received By/Title: <br /> EH Specialist: 01 J Phone: <br /> -1 J 3_ l <br /> Time in: Q : Time Out: j ✓�n / Page of <br /> 9 i •'�J <br /> EHD 16-24 (21d pg) 413(13 FOOD PROGRAM OIR CONTINUATION <br />