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SAN JOAQUIN COUN . f <br /> :< <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> to: <br /> _ = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> cq.. iP Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.segov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: GU n_�a . 74 , eC3 z z k Date: <br /> Address: G2 2 6 (9 G rcl Lin City: Zip Code: 9' 3 <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> /L <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> A� tj A & 0 � _ In - 4,100r. f Je✓a I e <br /> 1 �0Oct 6 ; C Aps 0 P 4ti door. <br /> l et O dr, <br /> ale � or 5cfn; 1 ; zer I <br /> u rip i O CCU r;rig! ry i i 64d. <br /> 3n� 1.0 <br /> SP d <br /> cc .s Ld; 4 <br /> cn nC4leS . <br /> Item/Location Temperature Item/Location Temperature <br /> 'rr&1 40 C' /P I FLW 9112- i n <br /> p i Z Z /yam'1' $ala d Lie, <br /> Food Safety Certification Facility Hot Water Temperature 11 ri .edtrj�. Warewashing <br /> Name: Hand Sink: Chlorine: Heat: <br /> de" ��r h J�iC_ f Sink: ' Chlorine: S t- ppm F <br /> Ju d <br /> Exp.Date: �, i (� Warewashing Sink: Z of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> d-5: <br /> EH Specialist: - I Phone: <br /> Time in: Time Out: D Page of <br /> EHD 16-24 (211 pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />