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SAN JOAQUlN COON <br /> M X ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.slgov.org/ehd <br /> LfF0 <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 4 rweria' Z . <br /> a Date: <br /> Address: Cit /� G cR Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: �-� InspectionIS <br /> 91 <br /> B180 Posted Yes ❑ o Permit Posted Yes ❑ No Re-Inspection on or Atter: �7 <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Lara r.� n <br /> ° ° 4 4- " S <br /> C60 r Fn <br /> Jia�v� fn Pry re ! 1k, /00 y, C-/-ezo at." <br /> C � rt9fz <br /> �r��7�� �S InCyV1,d. 45 IvuSSr - `T` �Wtbe JC � <br /> SGvrti;, GLS Yl� v <br /> I s <br /> Fn eL E -W F 4!-t14s e ' <br /> E Item/Location Temperature Item I Location Tempe ture Item!Location Temperature <br /> - coca °F ate- - moi" moo• <br /> .sem ams /f �fb° <br /> Na Akn free / °F naf f moo° <br /> Food Safety Certification Facility'Hot Water Tem erature Warewashing <br /> Name: - � � Hand Sink: ,gcsf aFblorj, Q ppm Heat: 'F <br /> Exp.Date: - arewashing Sink: '130 .F Quat.Amm.: ppm Other: 'IF <br /> 02 <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: 7 �r7 Time Out: Page of <br /> EHD 1&24 (2n°pg) 11009 FOOD PROGRAM OIR CONTkNUATUN <br />