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�' .. <br /> �q ''" SAN JOAQUIN COUR <br /> ). <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> -,� 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> �rFOR� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ujou ` Date: S U ZZ <br /> Address: c�„W i ► !� City: Zip Code: <br /> OwnerlOperator: t r W Telephone: <br /> V ✓ <br /> Program Element: +n Q Program Record: 0—D( 0 D • Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No 7 Re-Inspection on or After: 1 <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> rV 4l c k a:".0 L-C <br /> C'.t 14 <br /> (16, " <br /> (Al 04-kT V InaO! Yr.rtI `� �V Yk !n ✓r�.. <br /> !Q - w N OcNn l� <br /> 'Mir` ItemlLocation 3 Temperature, Item.!Locatiari Temperature <br /> Food Safety Certification Facility Hot Water Temperature_-,- warewashing <br /> -tom .. <br /> Name: Hand Sink: aFChlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: DF uat Amm.: ppm Other: of <br /> Received By/Titie: ��rC <br /> EH Specialist: Phone: <br /> Time in: V Time Out: PageI of <br /> EHD 1&2d {21d Pg1 V31133 it FOOD PROGRAM OIR CONTINUATION <br />