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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />_ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />•.c ... .. Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.s'gov.org/ehd <br />5C%FOPN <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT / n•% <br />Name of Facility: <br />�-�' ( <br />Date: I <br />Address: <br />City: <br />Zip Code: <br />Owner/Operator: <br />Telephone: <br />Program Element: <br />Program Record:,pR <br />Inspection Type: <br />8180 Posted Yes <br />Permit Posted <br />s No Re -Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />R.sExIir-C-a" C) <br />1 <br />(� <br />o rJ - <br />-c7 <br />O <br />; <br />h <br />%) C <br />4. <br />✓ p <br />N 6� <br />CC <br />I o Pty <br />TP -7 <br />(To <br />b <br />Q <br />. F <br />7 -IS <br />c <br />C <br />cIL 1 T o <br />L"!! <br />t <br />Q-7 <br />C Lf. <br />;: / <br />«z� <br />' <br />ovation - <br />Temperature"- <br />- /Location':"Temperature <br />Food Safety Certification <br />Facility Hot Water Temperature <br />Warewashing , <br />Name: <br />Hand Sink: aF Chlorine: <br />PPM Heat: of <br />Exp. Date: <br />Warewashing Sink: eF uat. Amm.: <br />Ppm ther: aF <br />Received By/ Title: <br />EH Specialist: 4f <br />Phone: <br />ime In: <br />Time Out: <br />Page of <br />EHD 1624 (2n° pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />