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aPA41N• F SAN .JOAQUIN COUNTY <br /> r ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> •.: ;p Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.s'gov.org/ehd <br /> 4C)FO�~ <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: arcyw Date: IL y <br /> Address: -bF590 City: Zip Code: ry� <br /> Owner/Operator: r•� Telephone: _E <br /> M <br /> Program Element: Ui Program Re pp <br /> rd: t l_� r! f 6 Inspection Type: <br /> SB180 Posted Yes o Permit Posted els No V t Re-Inspection on or After: <br /> OBSERVATIONS.AND CORRECTIVE ACTIONS <br /> Liv cWwvw I 1'a <br /> S <br /> ItemlLocatidn - - Temperature Item 6 Location, I Temperature <br /> Food Safety,Certification: Facility Hotta _ <br /> ty _y- ater Temperature WareWash'ing <br /> Name: Hand Sink: "F hlorine: ppHe <br /> m at: "F <br /> Exp.Date: _ arewashing Sink: "F r <br /> uat.Amm.: ppm Other: 'F <br /> Received By I Title: <br /> EH Specialist d - Phone: V A_ �7 l r j- <br /> ime in: Time Out: ` Page of <br /> EHD 16-24 (2m pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />