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°"'"• 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.siaov.ora/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Faclllty: ,(�.� �1_ Date: -- <br /> ddress: City: Zip Code: <br /> Owner/Operator: a`,,e Telephone: <br /> Program Element: Program Record: . Inspection Type: K <br /> 8180 Posted Yes No Permit Posted Yes No Re-Inspectlon on or After: <br /> BSE 11 -TIO AND COR E T VE ACTION <br /> GCC l <br /> -f c <br /> ✓r I tIV16 K ty\tWF "a <br /> rb 1 <br /> I - <br /> �jn 0j%fi?j6'0d 0 kp at P +- r-k-a- �WA Ukl raw <br /> p-t i r S <br /> r <br /> Q � n <br /> u— lt6 _Gcv1. <br /> r✓ — <br /> r I <br /> a jqh 1j7, I'M— <br /> sevve c RM os IY741 ,mac <br /> r G ✓ frG old l 3 F <br /> W GC -r ✓ crI F qAr I" I -1h <br /> Food Safety Certifi:A -Facllity Hot Water Temperature ' Warewaahing;' <br /> Name: � 'Q hh Hand Sink: eF Chlorine: ppm Heat: of <br /> Exp. Date: O 1 �� arewashing Sink: of Quat.Amm.: ppm ther: of <br /> Received By/Title: <br /> EH Speciallst: Phone: <br /> ime in: r Time Out: Pagg <br /> Of <br /> EHD 16-24 (2n0 pg) 413113 FOOD PROGRAM OF CONTINUATION <br />