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<?.tq9 SAN JOAQUIN COUNTY <br /> X <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> {0: <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> .. ;a. Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.smgov.org//ehd <br /> FOOD PROGRAM! OFFICIAL INSPECTION REPORT <br /> Name of Facility: w�� E, !z fi Date: <br /> Address: 6 00 City: Zip Code: /J Q <br /> Owner/Operator: L � Telephone: 7 <br /> Program Element: Program Record: �� 5W 157-7 Inspection Type: P �. <br /> B180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTION - -- <br /> � LZI•G=• <br /> �i Dp O <br /> ✓ !� <br /> ! 2 <br /> n 'g— F <br /> t /c <br /> f r + rvo S r <br /> p /r /lz.✓/ s/ <br /> l r <br /> i JAI /ZS !ems <br /> h �e <br /> f <br /> k.7 l <br /> S4 <br /> Itam/Location Temperature.; 1t®m!Location ' emperature OWL <br /> Food Safety Certification Faciiity Hot Water Temperature Warewashing <br /> Name: Hand Sink: `F Chlorine: pp,n Heat: FF <br /> Exp.Date: warewashing Sink: of uat.Amm.: ppmOther; <br /> of <br /> Received By 1 Title: <br /> EH Specialist: !x`r t Phone: r� �L ?�3� <br /> ime in: e"o Time Out: Page lof L <br /> EH 16.24 (21d pg) 4013 FOOD PROGRAM 019 CONTINUATION <br />