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SAN JOAQUIN COU Y <br /> ENVIRONMENTAL HEALTH DEPARTMENT . <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c4ciFeaaa. Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sioov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: j'01or)vz\te;t Mducp AID 4 )-J `1 V I Date: <br /> Address: ' p gaA rS P-ve City: c*tmi Zip Code: <br /> Owner/Operator: , CA\/'024- VII{ n�A.Q� Telephone: <br /> Program Element: Program Record: 1 p` ()rz;, Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> t 'F-W+nZ fi� of buc-Le <br /> 1 n v�- Std <br /> c>nl SG\l wrf1-N -ef-m11W-U N/01-1Cle Cm SS\4e <br /> Item/Location Temperature Item/location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: 77: Hand Sink: 'Fhlorine: PPM eat: OF <br /> Exp.Date: j, arewashing Sink: 'F uat.Amm.: PPM ther: OF <br /> Received By/TitleyJ 'C-1-C-1- ��/f1 e7✓ La <br /> EH Specialist: Phone: <br /> Time in: q :�p Time Out: • k IOZ.J Page of <br /> EHD 16-24 (2n°Pg)4/313 Cl"1 `i FOOD PROGRAM OIR CONTINUATION <br />