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o�uutn.,r SAN JOAQUIN COUNTY <br />?� ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siaov.org/ehd <br />'rc! FdAH <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: s b C <br />Date: <br />Address: 3SSOV tj1 City: '.-$�t <br />` ` <br />zip Code: <br />Owner/Operator: <br />Telephone: <br />Program Element:1 3S Program Record: S � 2 3oI 1 <br />Inspection Type: <br />W <br />SB7 So Posted Yes No Permit Posted Yes No Re -Inspection on or After:ANL-A <br />OBSERVATIONS AND CORRECTIVE ACTIONS= <br />fig <br />Z -Z S -r <br />em ereture Item / Location Temperature <br />V ..item/Locat o P - <br />Fou' dtion Facility Hot Water Temperature arewashing <br />F Chlorine: PPM H nd Sink: iHeat: <br />Name: -CM T 1�,�� ly-_,� �,; °F <br />\\ <br />Exp. Date: (1 _-� — Z b Warewashing Sink: l 'F Dust. Amm.: PPM Other: °F <br />Reoelved By /Title: <br />EH Specialist: Phone: <br />me In:91 Time Out: <br />� , Pag of <br />FOOD PROGRAM OR CONTINUATION <br />EHD 1644 (2 -pg) 4013 S <br />