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SAN JOAQUIN COUN <br /> �.- •.off <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> �. ¢: ..�4• Telephone:(209)468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> �lFoe� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: r Date: <br /> Address: Y y City: Zip Code: <br /> Owner/Operator: C Y I' �WrI.O Telephone: <br /> Program Element: Program Record: ,P �L Q(!p bZ Inspection Type: LirO3-��3 <br /> SB180 Posted yes ❑ No Permit Posted yes 11No Re-inspection on or After: � p o y� <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Co <br /> rr-- <br /> Y Ih Ca S 6 r1) J2 C-i <br /> n.i d7�7 3 <br /> d'L q,U r Ca t►z c r 5 E <br /> 1 vt CO L d .e.V7 C or- <br /> m{ -H M4-5 <br /> a -01 <br /> Gt_ it{C? Gt V� r e 4 r <br /> r- YYLo -,-_ r.e cr - <br /> c a -�-1'U ( 4-f yt 5 I` rT u Yo Ike r7 LZ?-.ea— D Y' <br /> 4 t6h O be r ' r1 ol7 <br /> Y.P- 5&1'Lem 0 r o 4en Lc <br /> W a s!u of C. can Lj v-es c tet- a'yr <br /> i GLC Ir +h ru ou-F -D-C - cLu- r ►' rnp a d <br /> K104- <br /> ac-1C (gid On.i crvt or! c Ltct. <br /> r c5 r- L/-ft YL r i S - <br /> d" a C� c�U r; o <br /> Item/Location Tempeiature Item/Location Temperature item 1 Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/ e: <br /> EH Specialist: Phone: <br /> Time In: W ; Time Out: 155 Page of 3 <br /> EHD 16-24 (2n"pg) 1118112 FOOD PROGRAM OIR CONTINUATION <br />