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Qul" SAN JOAQUIN C0UN-1 Y <br /> y ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �¢rtga �+;P. Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 1 � t Date: � .4 L <br /> Address: ty: Zip Code: <br /> Owner/Operator: Y ✓ Telephone: <br /> Program Element: I I n Program Record: L 07` Inspection Type <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> ,OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Say S 12 kq -- c <br /> fY� >rnGt��bc/i �� C�I••ri{i <br /> v\ — I "3 Q <br /> VV <br /> to,n - <br /> WV vy" <br /> s � ItemlLocation Temperature IfcmlL'ocation Temperature <br /> i <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name. Nand Sink: - °F Chlorine: pprn 'Heat: - -F <br /> Exp.Date: Warewashing Sink: -F Quat.Amm.: ppm Other: -F <br /> Received By!Title: <br /> Eli Specialist: n rn Phone: <br /> Time in: L Time Out: Page2ff <br /> EHD 16-24 (214 pg) 43113 FOOD PROGRAM DIR CONTINUATION <br />