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SAN JOAOUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . 4•.. .p Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> C1F�R� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �-7 �� e� Date. S Oa3 <br /> Address: j S4 City: Zip Code: <br /> Owner/Operator: Q�1L1 l Telephone: <br /> Program Element: S Program Record: P �'} �� Inspection Type: <br /> S81B0 Pasted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE AC111 <br /> .r <br /> c W�� f <br /> t <br /> A;,) E — ' <br /> Y I l i 14 C �— <br /> y <br /> 2 —� L •`ti- <br /> ,o <br /> lte ovation Temperature tem/Location 7emrature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: `'F Chlorine: ppm Heat: F <br /> Exp.Date: Warewashing Sink: `F Quat.Amm.: ppm Other: °F <br /> Received By 1 Tltle: <br /> EH Specialist. `I � Phone: <br /> ime In: 3 M Time Out: lJ Page of <br /> EHD 16.24 (2-pg) 4W3 FOOD PROGRAM OIA CONTINUA ION <br />