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aha"'"• s �./ 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.siaov.ora/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: S 9kni."eRy "IIISK Date: <br /> dress: / 41), //y a s r Oity 7'"Uzip code: 0 <br /> nor/Operator: (><qti SfAJ 7 (�� � p Telephone: 832—N4 <br /> Program Element: I G Z•3 Program Record: ' Izava Inspection Type: Uur� <br /> 8180 Posted FlYes K No Permit Posted ;,Yes �` No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> At Trc <br /> LE/itis RS 57a�cd f3A AA//¢S /HC1v< ry <br /> / STo2ED G f1tK-rnJ /9rS �� I rrwr <br /> `f'1.GCsgOR%:. 'Paropara�a' ,+' <br /> L abaR Su t 30 - <br /> I P r <br /> Warp" hing - <br /> Food Safety tear3iflcapon _ -� Faci�jliktt YMalor 7emperffiuro - <br /> land Sink: a Chlorine: Heat: <br /> Name: L,<o�v/a217G _4, HSIILF�V- 1� F pPm °F <br /> Exp. Date: Q-p arewashing Sink: I'f-0 of uat.Amm.: 2 ppm (Other: of <br /> ES1:4c—iallst. <br /> e: CJ V <br /> Phone: 1 O-sI ? __7- <br /> Time Out: �V„ypJ Page.0 <br /> � nlL= <br /> EHD 16-23 (2id pg) 0729109 w FOOD PROGRAM OR CONTINUATION <br />