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SAN JOAQUIN COUNTY <br /> r` z ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> .. ;1'• Telephone:(209) 468-3420 Fax;(209) 464-0138 Web:www.s' ov.or lehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 5 r R Date: S" -z'e2rz"z_ <br /> Address: S City: Zip Code: <br /> Dwnerloperator: v, f Telephone: <br /> Program Element: 7 Program Record: l n Inspection Type: L <br /> 8180 <br /> Pasted Yes No Permit Posted Yes No V Re-inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTION <br /> Nn <br /> C 1 4vtx4' <br /> D a <br /> Jr �! <br /> S- <br /> S � <br /> D <br /> [[O7 — Q v� <br /> a <br /> a, <br /> Temperature Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing; <br /> Name: Hand Sink: F Chlorine: PP_ <br /> Neat: of <br /> Exp. Date: arewashing Sink: F uat. Amm.: PPm they: op <br /> Received By!Title: <br /> EIi Specialist: Phone: <br /> Ime In: Time Out: Oa Page of <br /> �0 I, <br /> FOOD PROGRAM OIR CONTINUATION <br /> FHD 16-24 (21 pg) 413113 <br />