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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.s*Qov.org/ehd <br />L/ F O'aA <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />t vi vI I <br />Date: 11 1v23 <br />Address:City: <br />c Zip Code: IV5-7,5p <br />Owner/Operator: <br />Telephone: <br />Program Element: b <br />Program Record: <br />1,6 <br />Inspection Type: <br />SB18O Posted 00 No <br />Permit Posted l7eS No <br />Re -Inspection on or After: <br />p b2 <br />OBSERVATIONS AND CORRECTIVE ACTION_.S <br />j r:-Lr� 1 <br />G '11/o C/b Lk <br />L <br />' t Z I Z-1 <br />,p ,G/L-o <br />�N K /S L� &4-S -e C <br />W ' <br />fi ,tCLto <br />4'12 <br />ar <br />wa <br />W&:f Z iu P-7 1Ze,- <br />r <br />7 <br />h <br />WCaCo <br />mpe "_ _-;NNW, <br />Colo, ' <br />Item / Location '' Temperature <br />_- <br />Name: S -Sk <br />Facility Hot Water Tempereture <br />11 Hand Sink: O/1 :F <br />Warewashing <br />Chlorine: PPM 11 Heat: of <br />11 <br />Exp. Date: /L "P/ <br />JT <br />.L <br />arewashing Sink: i ZlV'1'. -F <br />Quat. Amm.: PPm <br />her: >F <br />Received By/ Title: - f <br />EH Specialist: <br />Phone: —3c)'-3 S <br />Time In: .l <br />Time Out: '? iS Z M 2 Page of <br />EHD 1624 (2b pg) 4013 FOOD PROGRAM OR CONTINUATION <br />