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So SAN JOAQUIN COUNTY <br /> ��c°G <br /> z� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c•.. �a• Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.sogov.oM eh <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: Za 2 <br /> Address: ! S City: Zip Code: <br /> Owner/Operator: L Telephone: <br /> Program Element: Program Record: S�J 1 Inspection Type: v <br /> 61 0-Posted Yes No Permit Posted Yes No l Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE A <br /> - <br /> -- -z- e- 5 a C <br /> �r ova/ <br /> G y1 Q ' A, <br /> P—b-3-0 n I Jt.� ! ✓! <br /> 62 <br /> `gL <br /> QE 0 Alf <br /> � <br /> Item/Location Temperature Item!Location Temperature <br /> i <br /> Food Safety Certification Facility Hot Water Temperature_ Warewashing <br /> Name: <br /> Hand Sink: of Chlorine: ppm Heat: 'F <br /> Exp.Date: arewashing Sink: eF Quat.Amm.: ppm Other: 'F <br /> received By!Title: <br /> EH Specialist: Phone: <br /> Time in- Time Out: Page of <br /> 60 <br /> FOOD PROGRAM OR CONTINUATION <br /> EHD 16-24 (2ntl pg) 413113 <br />