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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.sigov.org/ehd <br /> CIFO�� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �� �7 Date: <br /> Address: ` , City: ���, Zip Code. 64 <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: � 7 <br /> 9 g <br /> SB180 Posted Nes d No Permit Posted Pes 0 No Re-Inspection on or After: <br /> _ E ACTIONS' <br /> ATiONS AND CORRECTIV <br /> rre <br /> �ar7d -, L �' r� ��--lam 4-1 <br /> ALL ,' . s LL/0. <br /> 1 ria°� Y- , <br /> 1 r.{ z p rrt1}Ca rn G✓ 7r P -- ►•c/�i�S i <br /> to m. r <br /> 4 ►- rc�. �hn.in 106Y:s <br /> 5 FIC (,CQ_ 1-z�r} Gu•z,�✓r 1-�' c� <br /> cp.12� •'.t-. <br /> V 6�05 mo j <br /> U h 'R Ci d-0 CIO 1'1?-e 1 Gf' Y�. <br /> ee ef' d r Ln Lr TCa c e_ <br /> 6 c of <br /> 1� l� ' n <br /> Iters lIL bon Temperature a q UCtefn 1.bac tion 7err7Perature, . ; Item f Location Ter}nparature: <br /> r Yt L1J c q °� Cjf) 7 �? I I/o <br /> 1 " �I W (�at� "i Y I <br /> FoodSafety;Certification, �j Facility I1ot:Water`Temperature �# Vliarewash�ng z <br /> Name: �� Hand Sink: 10(, °F ri les OZ) ppm Heom at: fs 'F <br /> Exp.Date: arewashin Sink: / 0� 1fAqVF Quat.Amm.: ppm Other. °F <br /> Received By 1 Tit, <br /> EH Specialist. 'M,244. hone: 28�53_ I <br /> ime in: 1 ;3 Time Out: ?a .Uv Page_ of <br /> END 16-24(21'pg) 1112!09 FOOD PROGRAM OIR CONTINUATION <br />