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SAN JOAQUIN COUt� <br /> ?K ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sioov.ora/ehd <br /> 41FdA�` <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: r stn Q7)�j� Date: w- <br /> ddress: \ S. �q City: 5ADGI-n Zip Code: �1� <br /> Owner/Operator: G2,ffF& Ya\ t C-'IRO� \� IKL Telephone: 'j -;P3 <br /> Program Eleme • (� Program Re ord: pR o e)o6 ej Inspection Type: -1;r& - <br /> S6180 Posted Yes No Permit Poste Yes No Re-Inspection on or After: _ <br /> OBSERVATIONS AND CORRECTIVE ACTIONS t . ..t <br /> Sable + orn- b Le(, ore loo hear -the da l;�o r+ r <br /> USS <br /> QMe 0CQ6\ %W CI) the S Vices C1 TM 694 ttef. <br /> �10� Ofr m free S (("V- aneas ( eA" va <br /> %0A \-\kki u cl Ssi <br /> ale -bteS �Ssi Sank , VtTYAC& aS sGipn as PoSsiblQ <br /> Q dirt ard &bns, v ccNe b,vo icQ- <br /> r tr wochi"_&, CAWO <br /> 11 <br /> - ih"Meed MU11Q Of w <br /> Foalr) "M)\ai CdtOS C'n r,-i+e <br /> — WVil&\<S Gig <br /> m l Location <br /> fpm ur Mfie 160-I C%i(fir <br /> i r (COf Wa\Y- <br /> in ccx�(ru <br /> ! d r l u (X-eon (C)0(0- 3 `F f Tlzw� °F <br /> ' Food Safety Ce- iiion Facility Hot Water Temperature Narewashing <br /> Name: Hand Sink: 'F Chlorine: (0� ppm Heat: 'F <br /> Exp.Date: } Z ) } arewashing Sink: (ZL 'F Quat. Amm.: ppm Other: of <br /> Received By/Title: �t <br /> EH Specialist: Phone: <br /> ime in: 10 rp U Time Out: l ;-31�- 1 PageZo <br /> EHD 1624 (2m P9) 4013 FOOD PROGRAM OIR CONTINUATION <br />