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aPAN'.C' SAN JOAQUIN COUN i <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �q.._ .a`P. Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �ec, �aAr�S� 4 �;� �,r� Date: ej & <br /> Address: City: a � Zip Code: <br /> Owner/Aperatpr: . / �� Telephone: <br /> Program Element: f(, 9_157 Program Record: S� .� Inspection Type: ��.� <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> --AEki«o&�3:«=.11di _....e31... : B e,Bt.--.- <br /> 2a�� /vo r'BP <br /> C 91- e l -* <br /> ol <br /> AID <br /> Temperature„ <br /> IternlLacation Temperature Item Location <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: 'F Chlorine: PPm Heat: 'F <br /> Exp.Date: Warewashing Sink: of uat.Amm.: pPm Other: 'F <br /> Received By 1 Title: L <br /> EH Specialist: 1L I Phone: r <br /> Time in: Time Out: f OJT Pageef Z <br /> FHD 16-24 (2W pg) 413/13 FOOD PROGRAM OIR CONTINUATION <br />