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Pputry. <br />P 'y< <br />• c9C%FOa�`p <br />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.sogov.org/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />6OWLICyrz-,- <br />Date: <br />Address: <br />LAj j`5.0" w Vq City: �. <br />Zip Code: 2f� <br />Owner/Operator: <br />Telephone: <br />Program Element: <br />i <br />/ <br />Program Record: <br />Inspection Type: <br />SB180 Poe es <br />No <br />Permit Post Ye No Re -Inspection on or After: <br />- <br />BSERV TIONS AND CORRECTIVE ACTIONS <br />- <br />Item/Location <br />Temperature <br />Item /-Location <br />i <br />Food Safety certification _ Facility Hot Water Temperature <br />Warewashing <br />Name: <br />Hand Sink: "F <br />Chlorine: <br />ppm <br />Heat: eF <br />Exp. Date: <br />WarewashIng Sink: aF <br />Ouat. Amm.: <br />ppm <br />ther: of <br />Received By / Title: <br />EH Specialist: <br />Phone: <br />ime in: <br />Time Out: <br />Page of <br />EHD 1624 (2m pg) 4IN13 FOOD PROGRAM OIR CONTINUATION <br />