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SAN .JOAQUIN COUWY <br /> z ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> 4,FOR� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: -, CJ Date: _ 3 i 1 <br /> ddress: J i w it tb s4 city: Ir L4 c Zip Code: 753 ,76 <br /> caner/Operator:0 Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> B180 Posted D Yes D No Permit Posted []Yes DNo Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> a / Q e r U /n / 'f u <br /> el <br /> I v-rnlr 6� <br /> { I- ocr S C, rc On e, xe <br /> n 2 WteKs . <br /> 1 r% I; z0f rN a 4 O <br /> Dr, ICe. <br /> O cArrA We, 4or COrred in 1 Wee <br /> Ve <br /> 1; <br /> 4 1'a C. l4d Ctie r lerna 41,n7 era At te <br /> (0 ;; S hs r, re l ; n 2 Wee KS <br /> P 00d qs YV1 1 G ; Id -Gto 0kPrl r WQr <br /> C.5 re vC / ( lean I r'ervt0 ve & de; <br /> A I er a of KS co- -' CC Y <br /> �n 2 e ICs . <br /> 7h <br /> rclLrn l: A Cevor, a / are ; n 2 Wee lei <br /> Cc . c: n46Xj Ccld U)r, J0 r , te c < i <br /> 2 3 . — - - -- <br /> Cul M I /any - rn. l G Inrl-I Y V/ jr pel; <br /> wGr/vler, lO/; s /c - y/ is 1. S 3.f- r// /= tIt <br /> I/ ,1 r em' Location= ` - ie- <br /> Temperato ' <br /> y•c.:r I-PGC• 7 / / - <br /> ale,C' yl Cc: lei dt; fol'; Al <br /> Ill 40 r poli Pis / a Y LU' r LA)a 11C <br /> re Tonle 3N ! Wer Ill 44 r< Se,-dw/:cn &4.40&q1 y/ <br /> Name: �• � Hand Sink: 1001 of Ir hlorine: 'v:f0-7/a/ ppm eat: l6 0 of <br /> 2__ �c I nc! <br /> Exp.Date: 3 / arewashing Slnk: / / F uat.Amm.: ?2 ppm ther: 'F <br /> Received By/Title: _ <br /> EH Specialist: Phone: <br /> Time In: 9, y ! Tlme Out: 1 J v Page <br /> of 3 <br /> EHD 16-24(2°pg) 0112 .J FOOD PROGRAM OR CONTINUATION <br />