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�Q,PA Q,gA SAN JOAQUIN COUNT <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> yti�da�~ Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.sagoy.orq/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: N)A..) Date: 8-1 -i-/L/ <br /> Address: Z� � u/A�FAa / City. Zip Code: f�/ <br /> !!T <br /> caner/Operator: ! J /N / Telephone: fin. r <br /> Program Element: /GOO Program Record: C�0� �� Inspection Type: I <br /> 8180 Posted Yes No Permit Posted Yes l� No Re-Inspection on or After: <br /> ,tt c bP064E C J 1aJ <br /> F 6W <br /> 40 D E or CoL4, e.•c o V/ <br /> Ab /& ?40ma. �2—w <br /> ]�'}� ,u dNC� G✓IoU ?{- OAJ FOD <br /> - '40 7;-144V-.� Ec�t� G!/bt✓I <br /> a: 'off Mroj fie..) Cr+"CYe'-0 -mss v0 Du- — lcvJ <br /> ---r -?of.L.> > Coo OZ9 —a H1ic,� -a <br /> -o° 1f a ) w tijc Comw <br /> Ab Co ADDID a2.,3 is ;-1 b oF- !Wtcgak <br /> 0j3z,&Wrcp &fty joi t M/6. 17<.-) S Cok/<'LV3> <br /> AIL )A+luA&6tS,9 j kyC .J 01` 4fL / <br /> EST_ A0144— _ °f A-/ S J a- L I s4 <br /> /e1 3 °F —Gl'T COOLS t) <br /> Sur UtiyT S° F -11n u fie) n_ <br /> - �j A7,_c. hlf Oo to I 11A /L ,J f:4T — et PFS._ <br /> � l- <br /> .,. Food Safety Certificatiotr -Z Facility Hot Water Tempe eture Warewashing <br /> Name: Hand Smk: /.J 'F Chl�r� f-- PPM <br /> ,Meat: F <br /> xp.Date: Warewashing Sink: "F Ouat. Amm.: PPM Other. eF <br /> Received By/Ti e' <br /> EH Specialist: I'V�l Phone: <br /> Time in: b�ys• Time Out: ]Pg f <br /> EHD 16-24 (2m pg) 4/3113 FOOD PROGRAM CIA CONTINUATION <br />