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SAN JOAQUIN COUP' <br /> .OG <br /> z-+ ENVIRONMENTAL HEALTH DEPARTMENT <br /> _-_ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.orq/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Ekipp--e 0 P1 <br /> I' Date: )y <br /> Address: )v e n r. City: G Zip Code: C Z 09 <br /> Owner/Operator: / I Telephone: <br /> Program Element: / Program Record: 7 / Inspection Type: A <br /> SB180 Posted des No Permit Posted )-(,Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> c'2 zC r a.�d r- C_as a r-e- d, <br /> cr eac^ 6t, -fDcktj <br /> mss,- t�d-s <br /> 3 T1A_0_ Ca v. o 4C6oCA_ r,,--5 <br /> VeI/Lk_ H%-a- <br /> -22 <br /> 7� T kct.c,s. Lle,-f- <br /> 5u C��(r Cil Cv v t h A,lSL_ '_JQ /,V\ . f 15R r C. <br /> cp ./`2 Olt O r~ <br /> Item/Location Temperature Item/Location Temperature <br /> T� _ - P cls 4szSs� y�., <br /> - "I <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Tef-,e k Hand Sink: o f Chlorine: ppm Heat: o IF <br /> # w <br /> Exp. Date: _2c/_ arewashing Sink: / Z L_, of Quat.Amm.: Ppm Other: of <br /> 7 � <br /> Received By/Title: <br /> EH Specialist: / � Phone: n /6la 3Yq <br /> ime in: 12 5_07 Time Out: , ' Page Zof <br /> EHD 16-24 (2n°pg) 4/3/13 ` FOOD PROGRAM OIR CONTINUATION <br />