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SAN JOAQUIN COUNTY <br /> 2� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.orgle_hd <br /> L,�axi <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Cd� 77 f Date: <br /> Address: City: Zip Code: <br /> Owner/Operator: 12 a� ✓ Telephone: <br /> Program Element: Progr m Record: - Inspection TypeVUWNVk1_ <br /> 5B180 Posted Yes No Permit Posted Yes No Re-inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> F L2- D �F pp � <br /> f�77 -- <br /> cs <br /> Tqr1pasture Item!hocatio' Temperature <br /> r l S r <br /> L w� Z11 <br /> Food.Safety Certification Facility Hot Water Temperature . Warewashing <br /> Name: Hand Sink: 'F Chlorine: ppm Heat: 'F <br /> Exp.Date: ` arewashing Sink: 'F uat.Amm.: ppm ,Other: aF <br /> Received By I Title: <br /> EH Specialist: Phone: <br /> Time in: Time Out: 1 ,(l Page of <br /> EHD 16-24 (Z^a pg) 4013 W FOOD PROGRAM OIR CONTINUATION <br />