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aP4Ml" r SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />.. ;r Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sioov.orD/ehd <br />'f�/aeaN <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />'W <br />Date: ! <br />Address: �3 <br />t-1 <br />'eniqn City: <br />Zip Code: <br />Owner/Operator: <br />ti •, fid <br />Telephone: <br />Program Element: / /„ Program Record: PDQ aSo SS -3 Cr <br />Inspection Type: r>� <br />6100 Posted Yes <br />No Permit Posted Yes No <br />Re -Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />✓ WIj <br />ch&m <br />hilAh nAKtAWV" <br />C& dvpr <br />xni r <br />`rature <br />iaw - <br />Name: 1,17 Pq <br />G will <br />Facility Hot Water Temperat _ <br />Hand Sink: <br />of Chlorine: <br />Warewashing- . <br />PPM Heat: -F <br />Exp. Date: <br />% <br />arewashing Sink: <br />of uat. Amm.: <br />PPM <br />Other: >F <br />Received By / Title: <br />EH Specialist: <br />Phone: it <br />_ ' <br />Time In: Ell,S 161151 <br />Time Out: ;� Page3of <br />EHD16-24 (Vpg) 4013 FOOD PROGRAM OIR CONTINUATION <br />