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SAN JOAQUIN CO >Y <br /> 1 �a'FA <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.s'gov.org/ehd <br /> CIFdA`' .1 <br /> FOOD,PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 477 Date: <br /> V113 111� <br /> Address: /2 ' �„y City: Zip Code: <br /> Owner/Operator: /„ � Telephone: <br /> Program Element: Program Record: Z Inspection Type: U,)j j <br /> B180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> V I � <br /> d-- <br /> 92 <br /> =CP ✓¢7 1�7 Ll:a l✓ GI GIGirz �� /GAG/ �C6 t <br /> IN�� Ot G/i1/I� R (/GG 71 <br /> fn lo T d fi <br /> �tier ✓ <br /> lr�cvrr <br /> �!?lG�l �1 vlC+ -, vG ✓ c ,�- rub <br /> 1J�il P f t�vYy� CF J lido <br /> 7 <br /> Item/Location Temperature Item/Location Temperalure <br /> ✓ /Zl Gu/�--r _ 3 - 7il U <br /> Food Safety Certification Facility Hot Water Temperature _ Warewashing <br /> Name: Hand Sink: 'F hlorine: ppm Heat: `F <br /> Exp.Date: Warewashing Sink: "F uat.Amm.: ppm ther: 'F <br /> Received By/Title. <br /> wr <br /> EH Specialist: /' rill <br /> L Phone: 21 <br /> _ <br /> Time in: J / Time Out: Page of <br /> EHD 1624 (2^pg) 4013 FOOD PROGRAM OIR CONTINUATION <br />