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SAN JOAQUIN COUNTY <br /> AENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95295-6232 <br /> . .. ;�. Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.orglehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �I�- f� ���� mac- n KQ Date: � n <br /> Address: rt' w City: .2 q ` Zip Code: <br /> Owner/Operator: 1 Telephone: <br /> Program Element: Program Record:p �� fir, inspection Type <br /> SB180 Posted Yes Nd Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTION <br /> Uu. I <br /> r 1-1 s s kk c <br /> V <br /> 7' /-- - 0 a E7 I cc- as G M I 1 lC <br /> A/c5 U RE A A/ 1?I " / a t_ tsT`J 60 /S y! <br /> yZ r- <br /> "Orr I q-47&ff `t`t�P '-e Iv TP_0>--&a S <br /> I�1 S go v ip t o Ja <br /> r? <br /> cc-) <br /> F__7A L't 1:�b 0,4 "_5 9 6 *—.k 7rn_x��7_ <br /> mperature Item/Location Temperature <br /> Ld'WS <br /> Hot Water Te attire Warewashing <br /> Name: 'F Chlorine: ppm Heat: 'F <br /> Exp.hate: ng Sink: "F uat. Amm.: ppm ;Other: 'F <br /> Recelved By 1 Title: <br /> EH Specialist: Phone: f <br /> ime in: Time Out: Pal <br /> EHD 16.24 (2ntl pg) 413113 FOOD PROGRAM OR CONTINUATION <br />