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�q�IH SAN JOAOUIN COU:.i Y <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> -_ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> P Telephone:(209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility; !Aur1-W(cl LAM -in tat C Date: <br /> Address: City: JA(JTI�cU Zip Code: <br /> Owner/Operator: Telephone: (7 217) — <br /> Program Element: Program Record: Tt G �2 Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No Re-inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> U �Fd <br /> - pK <br /> w 1�►tl fi �+ S ��` C�1 . O� <br /> eor- Ev 1 c -P eS qrz L-lA"fi C uTn oo+ ,Ae , y t 1 �Q Lwvb!R <br /> - <br /> UK <br /> Item/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: iHand Sink: aF Chlorine: PPm Heat: F <br /> Exp. Date: Warewashing Sink: of Quat.Amm.: ppm ther: of <br /> Received By/Title: <br /> EH Specialist: <br /> Time in: k`Time Out; Page t of <br /> U ��� <br /> EHD 16-24 {2i'pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />