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p ..°"�" SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> - 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �4 iP Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> LiFORa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ✓ Date: — <br /> Address: ``^Q 1 City: zip Code: pI 3 3 <br /> Owner/Operator: Telephone: <br /> Program Element: t _ Program Record: c + !1 Inspection Type: ;7� <br /> P�1808180 Posted ❑Yes ❑ Rermit Posted J ❑IYes ❑II Re-Inspection on or After: <br /> Po 1 <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> C"SN-\ �- 1 <br /> Kn Gk (;-) (A <br /> n <br /> Vk, e d e r es ,n 2 O— <br /> '�-e, S -e e <br /> __ ti b3 <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: 'F Chlorine: ppm Heat: F <br /> Exp.Date: arewashing Sink: 'F Quat.Amm.: ppm Other: aF <br /> Received By/Title: S\ <br /> Nio C) �-� Chea <br /> EH Specialist: Phone: I b1U <br /> Time in: Qt C r-1 Time Out: `� L Page of 1 <br /> EHD 16-24 (2n-pg) 4;3113 , J FOOD--PROGRAM OIR CONTINUATION <br /> 5 <br />