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ar4"'n• SAN JOAQUIN COUNTY <br /> �� z< ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> CIFbFN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: l,96 (opffDale: <br /> ddress: City: ' 2lp Code: S' <br /> Owner/Operator: Telephone: <br /> tVaK <br /> Program Element: Program Record: Inspection Type: n� <br /> B180 Posted Yes o Permit Posted est No Re-Inspection on or After: <br /> OBS IONS AND CORRECTIVE ACTIONS <br /> m/Location Temperature Item/Location Temperature <br /> Food Safety CertificatIjIIIWj Facility Hat Water Temperature Warewashing <br /> Name: Hand Sink: 'F Chlorine: PPM Heat: J'FExp.Date: arewashing Sink: "F uat.Amm.: PPM Other: <br /> Received By/Tit]?x <br /> VWZVIIGA U7 <br /> EH Specialist: LMffQ , fbjXeK Phone: <br /> Time in: �•�`-� Time Ou : Page of <br /> EHD 16-24 (2a pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />