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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209) 468-3420 Fax: (209)464-0138 Web:www.s' ov.or lehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: p Date: <br /> ddress: /_ O City: Zip Code: T O <br /> (fes r r <br /> OwnerlOperator: Telephone: <br /> �' <br /> Program Element: Program Record: A 01 Inspection Type: <br /> l�2 <br /> SS <br /> 180 Posted Yes D No Permit Posted E Yes No Re-Inspection on or After: y <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> r C.o� itfio�7. <br /> re -&A -L6 <br /> ]LtJ r h�a�-tryr !za <br /> ►- 7e Y I d Q o� Y <br /> n� Wa 4t r' � <br /> C/ [�rr1 rn_e_car rt <br /> I-C D a r Cl o �- h r , r►'7L 4 <br /> Gt O r 4-r;Gr <br /> 01DDr 61 60 Uj Lu <br /> V r <br /> 17 _ <br /> 4el.All L/ <br /> r Co D r v a C r rreQ.xe r <br /> r� a c.P-- . u <br /> ►' 61.17,0- I Yn-a le.s; C r Q r.-p— <br /> r <br /> 1 <br /> itemlLocation Temperature Item:/Location Temperatd6 Item 1 Locatlon TL-rnperature <br /> I <br /> Food Safety Certification Facility Hot-Water Temperature Warewastling <br /> Name: Hand Sink: OF Chlorine: ppm Heat: OF <br /> Exp.Date: Warewashing Sink: OF uat.Amm.: ppm ther: of <br /> Received By 1 Title: <2„ �,U, <br /> EH Specialist: t ; Y,�C /}�'1 J Phone: <br /> � �7 t O <br /> 'rime in: 01 <br /> 0 <br /> Time Out: lQ.r /5 Page of 1 <br /> EHD 16-24 (2-N) 11009 ! `7 FOOD PROGRAM OIR CONTINUATION <br />