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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web.www.sj.gov.org/ehd <br /> ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facilit rcGC M Date: �O_2 _ 26 <br /> Address: O© ^� City: L rCN C Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Elemen 16 2_ t bySProgram Record:SC),S 2(61 150 Inspection Type: <br /> SB1B0 Posted f.1 Yes ❑ N6 Permit Posted ❑Yes FI No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> c — <br /> r - 1� <br /> rL <br /> S ` <br /> J <br /> 'J,A- c r n _ <br /> item/Location Temperature <br /> Item I Location j Temperature <br /> Food Safety Ce2kication Farewashing <br /> cility Hot Water Temperature Warewashing <br /> Name: Sink: of Chlorine: Pp., Heat: 'F <br /> Exp. Bate: Sink: of uat.Amm.: ppm ,Other: of <br /> Received lay 1 Title: <br /> EH Specialist: Phone: <br /> Time in: Time Out: Pagq of <br /> EHD 16-24 I2n1 pg} 413113 FOOD PROGRAM 01R CONTINUATION <br />