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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . c�4.. _ ;a• Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ` t Date: <br /> Address: City: 1 Zip Code: <br /> Owner/Operator: kAjuconw 1 Telephone: <br /> Program Element: Program Record: C Inspection Type <br /> /) : <br /> of BO Posted Yes No Permit Posted Yes No Re-inspection on or After: <br /> e <br /> BSERVATIONS AND CO CTIVE A SRI <br /> z. - - nct <br /> a - <br /> � a <br /> VV-�M A C <br /> � r <br /> I U <br /> m/L ocation Temperature - liem/Location Temperature <br /> - - - <br /> Food Safety Certification Facility Hot Water Temperature_ Werewashing _ Ml <br /> Name: Hand Sink: "F Chlorine: PPm Heat: 'F <br /> Exp.Date: in nk: 'F uat. Amm.: pPm Other: `F <br /> [EH <br /> eceived By/Title: <br /> Specialist: Phone: <br /> lme in: Time Out: Page <br /> EHD 16-24 {2-pg 13113 FOOD PROGRAM C1R CONTINUATION <br />