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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />•.•c.., ;P Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siaov.org/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: ovvh <br />/ <br />Date: <br />r %JZ 3 <br />Address: <br />�� <br />h �. City: <br />Zip Code: <br />Owner/Operator: <br />Telephone: <br />Program Element: <br />Program Record: 6 O 3 y <br />Z Inspection Type: <br />0-14 _ <br />SB180 Posted Yes No <br />Permit Posted Yes No <br />Reinspection on or After: <br />M111; PJ <br />OBSERVATIONS AND CORRECTIVE ACTIONS'. <br />- <br />ONS'h <br />'—c -t <br />/O`S P <br />i o <br />or e a <br />Item/Location <br />Temperature <br />Item / Location <br />Temperatu <br />Food Safety Certification <br />Facility Hot Water Temperature <br />Warewashing <br />` <br />Name: <br />Hand Sink: <br />of <br />Chlorine: PPM 11 <br />Heat: <br />of <br />Exp. Date: <br />arewashing Sink: <br />of <br />Quat. Amm.: ppm <br />Other: <br />of <br />Received By / Title• — <br />D l . <br />EH Speciaus - <br />�'✓I P <br />Phone: <br />Time in: ' S 2 M <br />Time Out: /; <br />Page of <br />EHD 16,24 (2n0 pg) 4IN13 FOOD PROGRAM OIR CONTINUATION <br />