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g4lry SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> a4.•, ;p Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> ��FOYt� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: - r\ C-r, Date: �—A _ ( — Z <br /> ddress: ` S 1 C [ 1 l city: (� 1,,� 2ip Code: OI S 3 3 <br /> OwnerlOperator: c ; r-,. <br /> J C"T r Telephone: <br /> Program Element: J Program Record: S t4 1O b S_ Inspection Type: C \ 5 <br /> 513180 Posted Yes No Permit Posted Yes No ` Re-Inspection on or After: J <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> ch n sem. n c� <br /> IACs Pvp . <br /> � \\ ser k-) : r e <br /> rC� CCN3 u1 1 y r <br /> - l <br /> ItemlLooation Temperature - - Item potation =- e zi Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: "F Chlorine: ppm Heat: 'F <br /> Exp.Date: arewashing Sink: "F uat Amm.: ppmOther: `F <br /> Received By/Title: <br /> EH Specialist: l.. Phone: 70c�_ blb- 3 O Z <br /> Time in: 1 0. �•� �t ` Time Out: {O� 1 Pagel of <br /> EHD 18-24 (2w Pg) 413113 J FOOD PROGRAM OR CONTINUATION <br />