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�0�0. coo SAN JOAQUIN CC 1TY <br /> p` ENVIRONMENTAL HEALTH DEPARTMENT <br /> V!: :< <br /> =. 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ... .P Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.s ov.org/ehd <br /> '�ciFpRa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility. WinAiew �jAn WX\ "n Date: <br /> Address: prve- City: ��Ul Zip Code: <br /> Owner/Operator: SUS-jp�V_ �\NOn�S r v� Telephone:(0 ._2 4 <br /> Program Element: }b 1 }Program Record: c C�32� Inspection Type: ��T 'per <br /> S8180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Nr �r S I CA S l Uo <br /> - h i t� t Gfi 5 0 5� tag Ir�tiBQ <br /> CC voc)(Ale�! : <br /> a (cm0frucS ve, S W j + <br /> ()�.19 V_o Ck <br /> Gym <br /> lcxl - <br /> hr� h rh WGr c <br /> n17- <br /> a <br /> Cm IvNe_ uu+ ti - <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: of Quat.Amm.: ppm Other: `F <br /> Received By 1 Title: <br /> EH Specialist: Phone: — <br /> Time in: Time Out: Page3f <br /> EHD 1$•24 (211 pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />