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g4A'"• 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.sjgov.org/ehd <br />�F00. <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />7//j _ A7- <br />- u Date: <br />Address: I /� <br />Cit <br />Zip Code: <br />Owner/Operator:t <br />Telephone: <br />Program Element: <br />Program Record:r1z:6 <br />Inspection <br />B180 Posted Yes <br />No Permit Posted Yes No <br />Re -Inspection on or After: <br />2 <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />D <br />— <br />S�r�er <br />lam' .1 C <br />a <br />426&& %z <br />z--! i <br />fy✓2 O <br />e <br />tv <br />ve <br />LA <br />CQ GAB <br />moi- <br />- � Y�-. <br />i✓I- //%7u <br />v( � E= <br />!vI Se✓ <br />Item/Locatlon <br />Temperature <br />Item / Location <br />Temperature <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name: <br />Hand Sink: <br />'F Chlorine: ppm Heet: <br />-F <br />Exp. Date: <br />arewashing Sink: <br />'F oust. Amm.: ppm 11 Other: <br />'F <br />By / Title: <br />C rtiS (/ Gr/ <br />[J A <br />[EHweived <br />Specialist: <br />Pho <br />ime In: I. <br />Time Out: I '� . '2^ M <br />Page of <br />BAD 1624 (2m pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />