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SAN JOAQUIN COUNTY <br /> a: .a <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.siaov.orq/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: r� Dafe: <br /> Address: City: Zip Code: <br /> Owner/Operator: C J Vh/�_« Telephone: <br /> Program Element: Program Record: lr� t�s S Inspection Type:t�5 <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERV. T.IONS AND COHRECT.IVE ACTION <br /> v �n&W <br /> J `17 <br /> v' S <br /> l00 , (, <br /> car o 41 ✓� w <br /> .em/Location 77 <br /> Item I Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature1100W <br /> Warewashing <br /> Name: Hand Sink: F Chlorine: ppm Heat: of <br /> Exp. Date: arewashing Sink: of Quat.Amm.: ppm Other: aF <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> u� <br /> ime in: C� '� !� Time Out: O M t. Page o <br /> END 16-24 (2n°pg) 413113 FOOD PROGRAM OR CONT ATION <br />