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oP° "• c �' 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 /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: / Date: Y <br /> Address: 17/ (,v- E[WI 5r- City: i_'&6( Zip Code: Z.FjU <br /> Owner/Operator: 5r'7m-/ 4.mU G �z ek N K Telephone: 369--alon <br /> Program Element: Program Record: /ct OS Inspection Type: / eY1'rt ..Ac <br /> B180 Posted "es C No Permit Posted Yes 0 No Re-Inspection on or After: <br /> GtNiAcxJ4fc�D C/t�l��tf/u !N Tf� - GAJ o 7b � <br /> /72fP5 W� par r T� <br /> h"t'A AJ l AI -TteE RAP iz:�P r$? 1/5-1-( iS cZZ6 ai!e,s E <br /> �D 7Pt ok 001neR r 4c. 710-mS <br /> IPbW.4v 4240 IM 509 A_)( +7Z i vG �! 4e77n00 <br /> 7Zcx-6-A) 66CY u GT 1,00 �,,¢i�< <br /> $ <br /> 5PR.4 T3 z6cC cs A-14 aPG 1n.4r, V-6A.751 %er- <br /> /ES /�/N� OWAJ IES S4-[E Z. ,' 0 T- /`-''RO PER I-A E3E-L5 <br /> t9bc s Th`AT 11s137EDIMek.5 0,4Al pleKru/' OA�b 7a T?Yl (?&15# RFGrs>ri/Z <br /> i3 LA a6lL Ink ScCsN A7177YF /A)TO 5194E� TH.*T $7109Tc!S: <br /> /9#/u peeti /Y/ At4i') <br /> /3 2oDuc� N�.h� /9aD l�vGn�FD/f�uTs .4n.� <br /> AN A446.2& W u/ v l T u <br /> tion Temperature Item/Location ,.Temperature Item l Location; Temperature <br /> - <br /> VOIRA-F 10P yS <br /> .Food Safety Certification - Facility,Hot Water Temperature Warewashing <br /> Name: GOCUpov 0717-9 Hand Sink: �'� "F Chlorine: 5_U �Heat: -F <br /> Exp.Date: -3v-� arew hing Sink: 1 ' 'F uat.Amm.: her: =F <br /> I <br /> eceived By/Title:H Specialist: - Phone: r l 77 <br /> ime in: `�� n 11 Time Out: ;� Page20 <br /> EHD1624 (2-pg) 11/2109 FOOD PROGRAM OR CONTINUATION <br />