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SAN JOAQUIN COUNTY <br /> a ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> ��FdR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �L ' 1 l' �� A Date: C2 <br /> v <br /> 196 <br /> Address: U 0 n fN � 0� y , City: _r L� Zip Code: <br /> Owner/Operator: i� 7 Telephone: <br /> Program Element: Program Record: p t t) Sj5& Inspection Type:. <br /> SB180 Posted Yes No Permit Posted Yes No 1 Re-inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 1 Oc, At- <br /> N 'A No <br /> O -�49 rz— <br /> U 7 4N L2 <br /> C / .l <br /> .6 a S`1 <br /> Z L-u�1 aT*-j W <br /> Uj -t- tog <br /> vm S aP 120P v�F owl f 90a <br /> 9-IF 6Ifj A go I/C- G iLbveJ A <br /> Item/Location TemperaturQ. Item 1 Location Temperature <br /> acgjq.E2LWater Temperature Warewashin <br /> am :: and Sink: `F 'Chlorine: ppm Heat: of <br /> Exp.Date: arewashing Sink: 'IF �uat.Amm.: ppm Other: of <br /> Received By I Title: <br /> EH Specialist: Phone: 73O ` 7 <br /> me in: •-7� ' J Time Out: Page f <br /> EHD 16.24 (2^"pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />