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°Pau'"•� SAN JOAQUIN COUNTY <br /> r. ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> q.,,• ;p Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> ��Foati' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: r7� <br /> ddress: 5� t City:57_ 1, � Zip Code: 66-M-3 <br /> Owner/Operator: `�J oLF•-orA'� Telephone: 0 <br /> z�u <br /> Program Element: ;!_� rogram Recor � � Q Inspection Type: <br /> SB180 Posted s No Permit Posted es No CJ Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE'ACT::IONS• <br /> % <br /> IPA PVC11 <br /> ```` <br /> V�- <br /> ItemlLocation Temperatures Item/Location - Temperatures <br /> Food Safety.Certification Facility Hot Wafer Tamp ereture War ewash g'_ <br /> Name: Hand Sink: ,F Chlorine: PPM Heat: oF. <br /> Exp.Date: Warewashing Sink: eF Quat.Amm.: PPM Other: eF <br /> Received By/Title: <br /> EH Specialist: Phone:It)( _ <br /> Wes LC/ <br /> ime in: Time Out: Page of <br /> EHD16r24 (2n°pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />