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SAN JOAQUIN COUNTY <br /> .y� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1 868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.s!_qov.orcI/ehd <br /> Rll A¢.R� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: r` Date: �. <br /> Address: C _ 1,� f�- City: Zip Code: <br /> Owner/Operator: 1 �^ C � y C Telephone: <br /> Program Element: Program Record: — �'701 Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> k2 <br /> v �:) "Z C k -t, -\ <br /> � J Ip <br /> i - <br /> 1 c . 2 11 . C1 <br /> Go 4,34 1-- rp-A u F of S <br /> 5 t\ <br /> b <br /> a Tem item/Locatia' emperature <br /> 2- c - <br /> r - -I = i S 3 F <br /> Z -.slr1 �S 2 i L Q r <br /> Facility Hot Water Temperature �arewashing <br /> Name: Hand Sink: f °F Chlorine: PPm Heat: IFExp. Date: arewashin Sink: F Ouat.Amm.: ppm Other: ' <br /> Received By!Title: <br /> EH Special - Phone: 2�q_ <br /> Time in: Time Out: i Page I of <br /> EHD 18-24 (2ro pg) 4/Y13 FOOD PROGRAM OIR CONTINUATION <br />