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,a- •�o� �'' SAN JOAQUIN COUNT <br /> W ` ENVIRONMENTAL HEALTH DEPARTMENT ' <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> �`d•....,..,�;:p Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sjgov.orA/ehd <br /> �rFoti: <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Faciiity: r� DI h C )ern Date: L/-7 _ <br /> Gr5 <br /> Address: S..Z o p ro ly 11 U)P FC'n City. S-OC k4cn Zip Code: <br /> Owner/Operator: I Telephone: <br /> Program Element: Program Record: s R 6 0 6 e 2 S Inspection Type: <br /> 8180 Posted C Yes 'i No Permit Posted '7 Yes No Re-Inspection on or After: G - <br /> b - 2Z— <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> e -g C ; 5 a pi, Vj: #hcwa AeallA pe., ,W;4, ObJc.; <br /> ero J. 4 r Jgwel OeLvor or bohol S ; ,i K <br /> G1 nd Men ro5 � ''1/o1 . <br /> r (/ W <br /> V <br /> 01I Y) G ?Pr- GY r!25 4roC.-4 J. <br /> U) 1 ; I rh S V e r o loco ! *n <br /> / I 1 ✓ jOr0 �Gble a yj r, Lo <br /> lG R� �rd use <br /> P1 c, a <br /> 6 14w c- S ec, <br /> 5G c� dS SO/ r y, 0 IG r 5 � n t� <br /> r fju : 6.1 Q ; r9, A Crer Ss <br /> tCVi da G Ma r. C t'i- n GC <br /> r, d lPj- C Gr dS ; n Oc, k5 . <br /> / <br /> 0 r r r W I G r1 l e, <br /> r IG W Ucrr e 't lod'o <br /> Item/Location Temperature Item 1 Location Temperature Item/Loco on Temperature <br /> TYue rn 0C"- �ll'' ArrArr /3S' <br /> Food Safety Certiflcation Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: �G of Chlorine: ppm Heat: of <br /> Exp.Date: War hing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: Time Out: 3 s Page of <br /> EHD 18.24 (2r4pg) 1!18112 v� / J FOOD PROGRAM OIR CONTINUATION <br />