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°"Y;7-11 SAN JOAQUIN COU Y <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: /f J Date: <br /> V//((J�S <br /> Address: ' City: dl l Zip' Code: <br /> City: <br /> Telephone: <br /> Program Element: 4. Program Record: Off' `) L 41 Inspection Type: , n <br /> B180 Posted Yes ❑ Rermit Posted (�es ❑f Re-Inspection on or After: `C <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> ✓�c vlr�c .4(C C <br /> C-�E �.(,MVV, .{ t <br /> �c <br /> ti <br /> Item/Location Temperature Item F Location Temperature <br /> - ��� i <br /> ,ti 1y� r <br /> A 44ati-. 4 d4-0 l <br /> acility Hot Water Temperature War washing <br /> Name: n„ ,•nom Hand Sink: / ' of Chlorine: r ppm Heat: of <br /> Exp.Date: w C- arewashing Sink: d-kt of Quat.Amm.: v ppm Other: of <br /> Received By/Title: ; <br /> EH Specialist: Phone: <br /> Time in: Time Out: i O Page1of 7 <br /> EHD 16-24 (21'pg) 4,13/13 FOOD PROGRAM OIR CONTINUATION <br />