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ot'qq!1V.. SAN JOAQUIN COUNTY <br /> w: :4 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . �4.. y N;P. Telephone: (209) 468-3420 Fax. (209) 464-0138 Web:www.sjclov.org/ehd <br /> �ii`G <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility `.� Date: b_ — 2�S <br /> Address: /1 City: (CA, Zip Code: <br /> Ow ner/Operator: `'�--- Telephone: <br /> Program Element gZ' Program Record: SAS 2 I S+ S O`-{O Inspection Type: 2 <br /> 8160 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> h-PBSERVATIONS AND CORRECTIVE ACTIONS <br /> S <br /> 1 — — C <br /> rj <br /> �:. <br /> q <br /> A <br /> n. <br /> 3 � - - <br /> C�s s�--�- t 1� � s - � f• <br /> itemiLocation Temperature item/Location emperature <br /> QQ <br /> Safety Certifi Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: F (Chlorine: PPm 'Heat: F <br /> Exp.Date: arewashing Sink: F Quat. Amm.: ppm then: °F <br /> Received By!Title- 77 <br /> EH Specialist 1� Phone: 2��! �C <br /> Time in: Time Out: Page._qf <br /> L. <br /> EHD 16-24 (21 pg) V 113 FOOD PROGRAM OIR CONTINUATION <br />