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°"!" SAN JOAQUIN COL_ . Y <br />� •.OG <br />y-+ ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.si4ov.orq/ehd <br />/FORi <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: h <br />Chi.1 , %%)!c i/C� <br />Date: <br />Address: <br />City: 6-iyn <br />Zip Code: <br />Owner/Operator: <br />1 <br />Telephone: <br />15.7_ 2.2 - <br />Program Element: <br />Program Record: 7 <br />Inspection Type:��� <br />r <br />SB180 Posted ."es D No <br />Permit Posted xYes No <br />Re -Inspection on or After: <br />r <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />r - O.P44 n Li W <br />Hca( q s <br />r <br />.P <br />.�-- <br />9 <br />rcb- <br />60f <br />Lail <br />Item/Location <br />Temperature <br />Item / Location <br />Temperature <br />Item / Location <br />Temperature <br />rp�c <br />(tel <br />�F <br />e4. <br />Food Safety Certification <br />Facility Hot Water Temperature <br />Warewashing <br />Name ' h /„ <br />►'/_ <br />Hand Sink: 'a? of <br />Chlorine: <br />ppm <br />Heat: <br />of <br />Exp. Date: <br />arewashing Sink: of <br />Quat. Amm.: <br />ppm <br />Other: <br />of <br />Received By/ Title: <br />EH Specialist: <br />Time in:f <br />hone: <br />4 <br />ime Out: <br />qj)age <br />Pof ey <br />EHD 16-24 (2^" pg) 11/2/09 FOOD PROGRAM OIR CONTINUATION <br />