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FC?°°ul" SAN JOAQUIN COUP <br /> ..o� <br /> a ENVIRONMENTAL HEALTH DEPARTMENT <br /> N: :t <br /> _ = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.s'gov.org/ehd <br /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ^Ljr S G�'LOO I Date: <br /> -23 -I <br /> Address: I b g , , ` + City: 64-0 c4lf-to n zip code: 5203 <br /> Owner/Operator: 5 uS D Telephone: <br /> al33--4Z3l0 <br /> Program Element: 1(0'62. Program Record: p R.0 1 (0 t)15(o-7 Inspection Type: zna.•RoU+i Y7-e, <br /> B180 Posted Wes ❑ Rermit Posted ` Yes C I Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 1 <br /> l)CUA 3,1 Uycau 0 v-+ d—ecA 4-o we n-I <br /> �•e�ss, `` mon . <br /> LDi,1? �J AY S Y-Lk- ►7'e'I Lt-'i <br /> 2, 5 <br /> Item/Location Temperature Item/Location ; Temperature <br /> _ _ _ _ __ — <br /> z I-II ham— -- �G 1� I l� c� Y C1 l F <br /> Pi7'7za <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: /� Hand Sink: F 'Chlorine: ppm I!Heat: `F <br /> A m ct��� Nt �' rn e //ti <br /> Exp.Date: `_ War ashing Sink: h3 �F uat.Amm.: �lJC% pprn Other: 'F <br /> Received By/Title: iJ <br /> EH Specialist: Phone: <br /> Time in: 1 , Time Out: ;y Pagatof <br /> 11 EHD 16-24 (211pg) 413/13 V FOOD PROGRAM ORCONTINUATION <br />