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a"A41"' SAN JOAQUIN COU"ay <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 /lobe„f- <br /> pofFacility:: b Date:Lij �e,Y✓ti✓t (-+- City: L"1"Ov.� Zip Code:: LQ 6ji 5 4 U wj4 � Telephone: y,t: Program Record: Q,0 I Q244O Inspection Type: <br /> V:es No Permit Posted es No Re-Inspection on or After: Z w -e{44fS <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> MD'.k' V 10l.QA'+i 0n-S _rn�`F-Vf✓1 rj 13- 1 1 w�' ✓ c Yt.O +" C-0VV-P-e_4cJ U—b rlL <br /> tkk �o CA�)i VL <br /> 1 doo v 57% 1 v c_ooCe y c s v10+ C.o L .e P7 014A In • is C_'Mra <br /> cl i on+; ( o4fn-6' l aZa <br /> d + t'° o t- Lz <br /> 2P » 1 Y vt�.at. h •- antl <br /> I n <br /> G ✓l�tY v ! M , <br /> — .e r <br /> (yay <br /> .I to <br /> RTro (6 A-*. I LA 19A4C <br /> L000d y�L+� <br /> v co rt-c r-P—+f ` is <br /> Item/Location 1 Temperature Item/Location Temperature <br /> v S . ver IG a� <br /> -56 <br /> lq6C bo A4- <br /> Food Safety Certification Facil�ater Temperature W <br /> Name: 11 Hand Sink: of Chlorine: ppm eat: of <br /> Exp.Date: arewashin ink: of r <br /> uat.Amm.: PPM r <br /> ther: of <br /> Received By/Title: <br /> EH Specialist: Phone: _ I <br /> ime in:IT 1 , 15 <br /> , 1G1 0Time Out, Page of / <br /> EHD 1624 (2n°Pg) VN13 FOOD PROGRAM OR CONTINUATION <br />