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SAN JOAQUIN COUR <br /> �O •cGG <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.siQov.orq/ehd <br /> �/FORM <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: C r 11 ( Date: (1, 27 - )l <br /> Address: I I <br /> (, S a, 1/1 C-1 (14 L City: i I Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: i G Program Record: SP b0 !, f, 7 2 Inspection Type: f pull I �G '1 <br /> SB180 Posted Yes - No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> r <br /> CvrrPC 1 h we e 43• <br /> he d yr <br /> Item/Location Temperature Item/Location Temperature Item/Location Temperature <br /> S 1A - - J C)C, g Cldl 31. <br /> j-d t -- q r )- 1. CDoc' - I 11'r <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: °F Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: "F Ouat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: r-.. Time Out: Page of <br /> EHD 16-24 (2n°pg) 11/2/09 FOOD PROGRAM OIR CONTINUATION <br />