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SAN JOAQUIN COUN <br /> 4' �+ ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax.(209)464-0138 Web:www.sigov.org/ehd <br /> �lFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 1e; Date: 'I!i/4- <br /> Address: ^ City: TaZip Code: �(S <br /> Owner/Operator: j_ � Telephone: 7 <br /> Program Element: ,IqProgram Record: 3�1 c�2 Inspection Type: �,�n, <br /> SB180 Posted (Yel No Permit Posted es No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> u_ �, <br /> C-Ce6cat- AA-'c ave, 1���� sb- 1 ivt wk all Va4f ✓ *kA4s tl <br /> r <br /> a i owl c v� aw f%* kA o k cw-� 14 uW25 410-• <br /> cktt 6".3 C, 1 A4A a S k. lCqkcc l? 2 s . <br /> s tv%tv, T--C' i <br /> _ ar'\ � \ _1%4\1 I ' 0_ av1d `Ap ( <br /> cn b e,4- *V_V e' , <br /> a0494- i 3—co 6 L? g'k f 1y�kfk-q cleff-" a"J. Kww <br /> ��Vh bow k's 4;4'bM0\- ao-b wi 04-c b 4L4Aaf/►cls(4K . tYn�/c a., <br /> w& rok &q);� ck (!�uvik- Lri� bles s .San4) ,k <br /> � � 3 � (A c a Uxtll untl '� 5`�'G In �e a�2 „u <br /> 5 rn5 hatei% elrwiftit cl(% <br /> V*,fiM V C4, Cl0 �r►1� a a kN • Cry caul- am i <br /> -- �— <br /> 'Item/Location Temperature Item/Location Temperature,_ <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Hand Sink: � �F 'Chlorine: PPM Heat: 'F <br /> Exp.Date: arewashing Sink: 'F <br /> t.Amm.: UPPM <br /> Other: ------- <br /> F <br /> Received By/Title: Mtti <br /> EH Specialist: Phone: —�7 �/ r/ <br /> Time in: o Time Out: Page ofh I.� .G :� <br /> EHD 16-24 l2nd pg) 4/3/13 FOOD PROGRAM 01R CONTINUATION <br />