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oPQ�!"• SAN JOAOUIN Ca 'Y <br /> y� ENVIRONMENTAL HEALTH',n� PARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/�ehd <br /> LfFO�l� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Wr4e(M n I SQ �m � VWiZ <br /> Date: <br /> Address: pre City. )AW)-�-_ C V'C y Zip Code: <br /> Owner/Operator: S�n��, V�� ��`S Telephone:`(01 <br /> Program Element; `(0 �G� Program Record: PRD56 �12 9 Inspection Type:,p" <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> - ti canAbe <br /> _0� <br /> r� [� t tes <br /> - <br /> c od es ard n c am do v <br /> 6>f\ Si . -1h" - �_ yr wu - cw <br /> 4CCIa C5r n o �)G* uµ _ ,ems C_ S _e <br /> SCA M <br /> T\kM\4ff S TtA CC S 140f u �� <br /> Item/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: "F Chlorine: PPm Heat: F <br /> Exp.Date: Warewashing Sink: 'F Quat.Amm.: ppm then. °F <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: CA -ro Time Out: O Page of <br /> EHD 16.24 (2n°pg) WN13 FOOD PROGRAM 01R CONTINUATION <br />