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FIWA!-". SAN JOAQUIN COUN14 <br /> � SAG <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> c...., .�:� Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sagov.org/ehd <br /> irFo{� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �O Date: <br /> ddress: City, L +V�'r� Zip Code: <br /> Owner/Operator: G j_ Telephone: <br /> Program Element: Program Record: pIZ 0/60 82,-3 inspection Type: end <br /> 8180 Posted 41yes 1 No Permit Posted WYes -] No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> o <br /> Y <br /> Y 'ne /" <br /> n <br /> r Sao <br /> 6 r v✓ ` <br /> LIM rh.e -s y Lr c[ s v <br /> Car`s I v ei" DOB <br /> Item/Location Temperature ttem J Location Temperature Item I Location Temperature <br /> L-)1C blq8p <br /> a(a� ° 15 bravve►� <br /> ° 001" <br /> Food Safety Certification Facility Idot Water Tem rature arewashing <br /> Name: r Hand Sink: O ' of lorines d� ppmFth <br /> /D of <br /> Exp.Date: arewashing Sink: of / ppm of <br /> ij <br /> Received By/Title: hVJ�EAS� <br /> EH Specialist: f Phone: J53_92 1-2 <br /> Time in: Time Out: Pageaof <br /> EHD 16-24 (2^d pg) 1112!09 FOOD PROGRAM OIR CONTINUATION <br />