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SAN JOAQUIN COUNTY <br /> n <br /> off, ...... o S_ <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �4..,� ¢•.�;;P Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www/_-..sigov..org/ehd <br /> LlFOR l "2_( F vuI 3V <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ,e c zN t�d C._ v \�j '7s �1-« Date: <br /> Address: 1<3 c (GN '- City: �_Csckl� zip Code: SZ� C> <br /> Owner/Operator: C c- . Telephone: <br /> 1��5',m �a� C� a .r� h <br /> Program Element: Program Record: (". p 2A t 1 Inspection Type: C� ' <br /> SB180 Posted Yes No Permit Posted Yes No Re-inspection on or After: <br /> 9 = 6SERVATIO S AND CORRECTIVE ACTIONS <br /> e vi 3k 6 C1 - - <br /> e <br /> CIO — 20�D <br /> r i C Q- LA 00 k2, I 4.0c'-Q <br /> _ c y� � d QrJv�, e '.' � <br /> Ck C"'�C \ (��Z ' �t <br /> 0 <br /> r,�P_C1 . <br /> 1� perature Item/Location emperature <br /> I _ <br /> Facility Hot Water Temperature Warewashing' <br /> IL <br /> Nam7Dat7e — <br /> Q and Sink: ZF Chlorine: ppm Heat. °F <br /> Exp. U Warewashing Sink: .F Quat. Amm.: ppm Other: =F <br /> Received By 1 Title: <br /> H Specialist - Phone: <br /> ime in: I, Time Out: : ` 1 S •]Page of <br /> EHD 16.24 (2-pg) 413113 FOOD PROGRAM OIR CONTINUATION <br /> r <br />