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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />��pldbAwp Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.s'gov.oro/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: 'e <br />(�� <br />�J <br />Date: Z <br />Address: -:tn <br />[� ` City: �c� C Zip Code: pl <br />\ <br />Owner/Operator: <br />Telephone: <br />Program Element: \kO r Program Record: `1 _ 1 �-Z <br />Inspection Type: <br />SB180 Posted Yes No Permit Posted Yes No <br />Re -Inspection on or After: <br />S <br />OBSERVATIONS AND CORRECTIVE ACTION <br />t✓ -;S3 <br />s <br />2 <br />n <br />(' <br />e <br />S\� Ce (S LY\Qe5P_ \Le. O( e.0 r <br />ocation - - Temperature' . Temperature <br />��► - <br />�aC 17V47 <br />f1j 2 r <br />Food Safety CertiHcatlon - Facility Hot Water Temperature - -' 'rewashing1. <br />Name: .•\h 2d 1 Hand Sink: `�� 'F Chlorine: ��^� ppm Heat: 'F <br />Exp. Date: _ ^L b arewashing Sink: `3 'F uat. Amm.: PPM Other: "F <br />Received By / Title: <br />EH Specialist: <br />ime In: 2 <br />S <br />Phone: �01 _ Ii O2 <br />Time Out: 2 �� Paget <br />FOOD PROGRAM OIR CONTINUATION <br />EHD 1rr24 (2n° pg) 413113 <br />