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SAN JOAQUIN COUNT <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 /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> E <br /> acility: t:� Date: y/S./o <br /> ltYrf5.r City: Zip Code: 9,5-37Orator: Telephone: t ✓�-y.,� 27Element: � iqProgram Record: R5/�1 Inspection Type: Qsted Yes No Permit Posted I�Z Yes No Re-Inspection on or After: <br /> OIBSERVATIONS AND CORRECTIVE ACTIONS <br /> S/luacuek Drsf'�.q hrgs c'efrGrs�v �r N7W15 D Mus; 13E b4feZ 197- <br /> .2Tfi� S9a�we/+ c7rs/'ti9r T- A0111cT*R s 3 _3k &Qh rs <br /> a2W�t LtiORKcA.tj Tr cQwra 7�R /NSrAF `17yrt 4Urr rl�s D i <br /> �$RoREN w9uAx <br /> W ,L -ra 3eX pmkwftPNtR To Sry'? 7r& <br /> Du (J.EANn ct 9�D itt�ru_ e4 �9ifi T3 -/ �/D. <br /> Bnwit r .01j DeAkrA 19" AA16 4160R POK&U To /NRK,. PROA'k ;3 <br /> &4-D jes D'5r s o/v T R'nraak. 5-ri�s PAUf (V&#LS CMI s <br /> EIi1G. o'rK�2 �R6ct�S Uror�a-Prcxvs C►n24tclttl�� - <br /> tore _ Item/Location _ Temperature j Item/Location Temperadse <br /> 5/9N�++Cupr �� y5 <br /> PA<P j*prl- 01gM y <br /> 00ICK"- rkr_4�)ISPu7y I <br /> Food Safety C041110110W - Faeift Not Water Temperarcre Warewashing <br /> Name: ]L,.. . __ C, vHand Sink: __128 <br /> =F (Chlorine: - ppm rHeat: 'F <br /> Exp.Date: E0 �r1O arewashing Sink:/q� of Quat.Am m.: �,�I PPM ------- <br /> received <br /> 'F <br /> Received By/Title: h ✓ i BOO 57-ol " /�C-/C <br /> EH Specialist: Phone: 168 <br /> -3 <br /> 'y <br /> ime in: - Time Out: 3 :C_y5- Page e, <br /> EHD 1623(2d pg) D7129I09 FOOD PROGRAM OIR CONTINUATION <br />