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SAN JOAQUIN COUN* <br /> _ Z ENVIRONMENTAL HEALTH DEPARTMENT <br /> r_ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • .o4tIFa,A�`P• Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.s6gov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Sc1 • to Date: 6- -.13 - 12 <br /> - <br /> Address: (8-G , (� 1 b S + City: Trir Zip Code: C�s3 <br /> Owner/Operator: I - Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> Ctil :nC <br /> SB18O Posted ❑Yes n No Permit Posted _Yes C' No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> S1 1 <br /> CSI ? SA Iti r e -ro r, dz (e <br /> re- ma <br /> V e �a do r o A -1 - 4/s lct; r <br /> 1II L/ I r. e r j 4 c 4 <br /> ba kA '. C e11 'i <br /> 3 Cc r%Ar1n ; y cl,+ Pro;n+a;h o or Above 2G' - <br /> 1 Q r1 !Z e r- ct 4 -C SO M I 4n0"' <br /> IK ul� - yl ►- 1- dcc, . 3 <br /> ^$Item/Locaion- l"Temperature Item)Location TempetatueE <br /> 35r- 4/r/= sU ; r <br /> lss = sou N � - Cti <br /> o . <br /> Name: land Sink: 'Fhlonne: ppm eat: �Or °F <br /> Exp. Date: Warewashing Sink: .F uat.Amm.: PPM ther: `F <br /> Received By/Title: <br /> H Specialist: Phone: 6 S-- 3/f7 f <br /> ime In: Time Out: Page9 of <br /> EHD 1&24(2d pg) 419112 FOOD PROGRAM OR CONTINUATION <br />