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SAN aJOAQUIN 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.sigov.org/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: 'P <br />26 <br />Date: O1 _ <br />—2 <br />Address: <br />City: <br />Zip Code: <br />Owner/Operator: <br />Telephone: <br />Program Element: <br />Set 80 Posted Yes No <br />Program Record: <br />Permit Posted Yes No <br />Inspection Type: <br />Re -Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />NC, vt <br />tb I>r <br />Item/Location Temperature <br />W I .--4� wl�C-o OL ., �_I <br />39k-- <br />`L-bRcnal�2 UI'� <br />m F66d'$afety Certification 'ty <br />Facility Hot Water <br />Item 1 Location <br />- <br />Temperature _. _ <br />� "Warewasliing <br />__ _ " <br />Name: <br />Hand Sink: 100 <br />of <br />00 Ppm Heat: <br />.F <br />Exp. Date: <br />arewashing Sink: �Z� <br />of <br />�Chlorine: <br />tAmm.: ppm ther: <br />of <br />Received By / Title: <br />EH Specialist: C. ` u C t <br />-AA 4 2-0 <br />Phone: 7-05p- S6 r- <br />ime in: .9 • D <br />PM <br />Time Out: 2 a -7 p <br />Page1o!,Z— <br />EHD 1624 (2n° pg) 4/3/13 FOOD PROGRAM CIA CONTINUATION <br />