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o.PctS+lN• g SAN JOAOUIN 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' ov.or /ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: _ c'r <br />e- Date: <br />Address: -ly 2-S S • I vr,F WC�City: <br />Zip Code: cIS 23 <br />Owner/Operator:0 N(0.rrq <br />2. r <br />�-� 4p Telephone: <br />Program Element: �oZ Program Record: 057-7 <br />Inspection Type: <br />SB180 Posted Wes No Permit Posted Yes No <br />Re -Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />Item/LoTemperature <br />Z v ; <br />)v� L.eP <br />` -Io <br />Item / Location - - <br />- <br />1 Temperature <br />�s <br />65— <br />3%3 <br />cation Facility Hot Water Temperature <br />Name: r; 1R;,� Hand Sink: Q <br />- Warewa_ <br />of Chlorine: I-O(z) PPM Heat: <br />of <br />Exp. Date: t —1%-2-02 _> <br />1%_2023 <br />arewashing Sink Z� <br />of <br />ther: <br />Ouat. Amm.: PPM IP <br />-F <br />Received By/ Title: <br />EH Specialist: �J L�4 <br />Phone: <br />Time in:r iJ <br />Time Out: / 5 <br />PageZof <br />EHD 16-24 IV pg) 4/313 FOOD PROGRAM OIR CONTINUATION <br />