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avec .A� i� SAN JOAQUIN COI.II ,-d' <br /> Q' ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> :< <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �4t/Foti��. Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: S Date: 9_A <br /> Address: Sr p L e City. Zip Code: 54 <br /> Owner/Operator: h &' il P Telephone: <br /> Program Element: Program Record: ! Inspection Type: Co / <br /> SBl80 Posted Yes No Permit Posted - Yes - No Re-Inspection on or <br /> ...:..say.. ,..._ . <br /> ` BSERVATIONS AND CORRECTIVE ACTION <br /> S u <br /> , 01 IS If Of I'd and I <br /> a d v r3el c /u <br /> u ill After ea, lin t QI l '1 ; ` � <br /> 5 le V ,S : r utor n a P CG It, .. <br /> N0 e ho ve 1A 1 0 r <br /> 0 r P � vr3 100 ./ <br /> l j IVe s Q A G ; c. b 12 <br /> I ,S � CJC' l <br /> ProP �o Y FG i: t n {o C <br /> r0rY% 7Q l TUi !e rerA <br /> t / <br /> 4-ri re 6/ In z clot! o Al! IPMper..laM <br /> r� ro er $a , L4 1 Prn Glre <br /> 1 S D ,-✓t da <br /> O n D!e 16 b h' S o, <br /> S l bu C k"e �, Um hProPic n <br /> C he nn C. ! � S4cfe d of(IS c <br /> r I un d <br /> /' ._. perature <br /> G r C/'12 re ( rr ) C' I <br /> 1 irl U / te- <br /> ame: and Sink: C O 'F lorine: f ppm eat: 5 2 -F <br /> Exp.Date: 1warewashing Sink: /� 'F rust.Amm.: 2aU ppm F <br /> they: °F <br /> FHS <br /> ved By/Title: Y �k - <br /> ecialist: Phone: / p,n: U Time Out: 12': Sv Page of Z <br /> EHD 1624 (2°Pg)4/3/13 FOOD PROGRAM OIR CONTINUATION <br />