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1 .c� SAN JOAQUIN COUN', Mc��y <br /> zj ENVIRONMENTAL HEALTH DEPARTMENT 1 <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.slgov.orq/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �77 Date: 0- i0 <br /> Address: - City: Zip Code: <br /> u• <br /> Owner/Operator: t/' Telephone: <br /> Program Element: `l oq Program Record: 2 Inspection Type: <br /> F61880 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> i <br /> C �kao ' <br /> 10 - 5Q� 1- CCS <br /> - <br /> -3 - <br /> fzl <br /> 3 b�tJc-eftC. I - <br /> Sp vl 1 <br /> _ w <br /> Item/Location Temperature Item/Location - - Temperat <br /> bur <br /> -I J" <br /> Foo afety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of uat.Amm.: ppm ther: of <br /> Received By 1 Title: <br /> EH Specialist: Phone: <br /> Time in: Time Out: Page of <br /> EHD 1&24 (2n1 pg) VY13 FOOD PROGRAM DR CONTINUATION <br />