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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ 600 East Main Street, Stockton, CA 95202-3029 <br /> �•.,r �.�;:� Telephone:(209) 468-3420 Fax. (209) 464-0138 Web:www.sigov.org/ehd <br /> { FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: 7-/ <br /> Address: C ,. J 1 City. 4 Zip Code: <br /> Owner/Operator; Wj^ - -S r ^ `�YCJ �0 Telephone: �—��a-3 <br /> Program Element: (JQ Y�Program Record: C 660 ,3"3I l q Inspection Type: <br /> _ <br /> SB180 Posted Yes ❑ No Permit Posted E Yes E No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> + r l j r i7 4' <br /> 07F b j:,0 <br /> c t <br /> i Y7 Q Y o <br /> `i—P `f r i -P--Lc cx k <br /> Y r hoo 2 Y 0 7` Y cs vl <br /> r .c <br /> r r <br /> S c f2 cir , ar <br /> Z 0 11-t;i ho n r c.-u <br /> C Lc, u,,74-7 l Com.t lr.; <br /> f - IIVIq 7 / /L//4/9 <br /> / <br /> itemLLocatian Temperature Item f Location Temperature Item 1 Location TemperatE[re <br /> Food Safety Certification Facility loot Water Temperature Warewashing <br /> Name: and Sink: 'F Chlorine: ppm 11 Meat: 'F <br /> Exp.Date: arewashing Sink: "F :tuat.Amm.: ppm then: 'F <br /> Received By 1 Title: ak KU %`C 4 <br /> EN Specialist: - Phone: <br /> Time in: / Time Out: Page of <br /> 0,3J <br /> EHO 16-24(2n'pg) 1112!09 FOOD PROGRAM OIR CONTINUATION <br />