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SAN JOAQUIN COUNTY <br /> r. z 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: C� c �, _ Date: , k LA _ .2- <br /> Address: ( City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Brogram Record: jam— 2 Q 1 S i `� Inspection Type: <br /> ral-8 0 <br /> Posted LL33 ❑Yes ❑ Rermit Posted C Yes © 1 Re-Inspection on or After. <br /> BSRVATlC3NS ANO CORRECTIVE ACTIONS <br /> L� 2 <br /> r� - <br /> , -� k �1 - <br /> 1 T` <br /> 1 <br /> v f\ t- <br /> SzeC C=l`-A <br /> 5 � 1 <br /> C rr <br /> C 1= 'q <br /> Itemll-ocation Temperature Item I l ocation Temperature <br /> . Facility.Hot Water Temperature Warewashing <br /> Name: Hand Sink: 'F Ichiorine: ppm (Heat: 'F <br /> I <br /> Exp. Date: arewashing Sink: of iQuat. Amm.: ppm Other: F <br /> Received By I Tit <br /> EH Specialis 5L <br /> - Phone: 2 <br /> Time in: --I '-� S Time Out: Page f <br /> EHD 16-24 (2n,pg) 4613 FOOD PROGRAM OR CONTINUATION <br />