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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.s'gov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: tgPz',1Y0_ <br /> J r P,: Date: <br /> Address: City: �'A Zip Code: <br /> 10 0 � f`!"TtC n L- �v= <br /> Owner/Operator: Telephone: <br /> Program Element: E s r6 Program Record: I Ofl Inspection Type: <br /> I r vfT- <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> AV <br /> l S /hl e' I <br /> o n® <br /> n s4 u CE7- <br /> ad — Z <br /> S .En4s <br /> 7TA 72=- <br /> 367 <br /> emperature emperaiure <br /> Food Safety Facility Hot Water.Temperature Warewashing <br /> Name: Hand Sink: °F Chlorine: PPm Heat: 'Fm <br /> IL <br /> Date: arewashing Sink: 'F uat.Ann.: ppmOther: 'F <br /> Received By/Title: <br /> EH Specialist: Phone: 7_3 <br /> Zo <br /> Time In: 7 Time Out: Pag�of <br /> FHD 16.24 (2^"pg) 4013 FOOD PROGRAM OIR CONTINUATION <br />