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SAN JOAQUIN COU1 Ty <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.si(iov.org/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: V a <br />r <br />Date: <br />77 <br />Address: ! <br />tk-OK MM—A4 /City: <br />l <br />Zip Code: <br />Owner/Operator: vv, <br />_G` <br />Telephone. - <br />&9 i <br />7 7 <br />Program Element: <br />Program Record: 0 <br />Inspection Type: <br />6180 Posted O Yes ❑ No <br />•Permit Posted D Yes D No <br />Re -Inspection an or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />Gt <br />d�C cv ' ltNc G/ <br />q l_ <br />GY/✓r f <br />9 f <br />rl�a <br />u Ce <br />F-Oacu iv <br />u P 14'7YC <br />0 i <br />J' <br />G L <br />Item/Location <br />Temperature <br />Item / Location <br />Temperature <br />Food Safety Certification Facility Hot Water Temperature <br />Warewashing <br />Name: <br />Hand Sink: <br />'F hlorine: <br />ppm eat: <br />'F <br />Exp. Date: <br />arewashing Sink: <br />`F Ouat. Amm.: <br />ther: <br />PPM r <br />"F <br />Received By/ Title: <br />6 <br />EH Specialist: <br />Phone: <br />In <br />lY <br />Time in: 101, <br />Time Out: <br />Pag of <br />EHD1s24 (2 -pg) 4013 1 FOOD PROGRAM OR CONTINUATION <br />