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C*CIWO.. SAN JOAQUIN COUNTY <br /> a ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> •' qi+�b' a` .. Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ' ell Date: 1 0 L <br /> Address: City: Zip Code: <br /> z d�� u �' <br /> Owner/Op orator. t� ,� f � Telephone: <br /> Pr !ogram Element: 1 „q� Program Record: Inspectlon Type: �y <br /> SBt80 Posted Yes No Permit Posted Yes No Re-inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS - <br /> S ea 1-Dy1 I ! 1 /u ( - --- <br /> a r j'l'vi ?� a � ►7vir� r r,-t,�,�. <br /> LlI r k <br /> 7temlUocatlon Temperature Item/Location L-TTemperature <br /> 77 <br /> `Food Safety certification Facility Hot Water Temperature �WarewashlngHand Sink: F Chlorine: ppm Heat: 'F <br /> Name: _ <br /> Exp.Date: arewashing Sink: F Quat.Amm.: ppm Other: 'F <br /> Received B�Tltle: <br /> t:H Speciali j f r) Phone: I Y <br /> 4� Time Out: Pa of <br /> ime in: <br /> FOOD PROGRAM OR CONTINUATION <br /> EHD 16-24 (2n°pg) 4W3 <br />