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SAN JOAQUIN COI: Y <br /> �o. .coc <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �a•.I :P Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.smgov.orq/ehd <br /> � FOR�' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: O 5 Date: 745 <br /> Address: u75 / L-a-te_ City: Zip Code: yS:2G <br /> Owner/Operator: 6 u Telephone: 4-f7 92 <br /> Program Element: 2y Program Record: Z G���f .� Inspection Type: <br /> / <br /> SB180 Posted)(Yes No Permit Postedi,Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> ' 000j aon.e coverins, bo" krr) o nu4r,,1 ra-cJc - b56r brhi, <br /> n c4. .4�- � o r C4 V_e i <br /> Ylorl 10,5D r br/i+ mom r i oL I <br /> 1 c�1''►'►-at < cky- riS*i--IC one, ori acyrzeir --Fron-l-) <br /> "► Cl a <br /> V-4 rti.( v�e a �- h �e X V. , s"-I . <br /> Ptr-.e-A r- vi -re "a a ho c & <br /> r ti - ( w e.eaC n <br /> P <br /> tx -e rs a re 12A 0 K 6•e n t • I a nG( D cry A+ <br /> t4j `�-h to 55 P ee.�� f . TZ4 Gory+ <br /> VCor Y Va ids <br /> F� r U d o V1 re i L cl 's r +r . <br /> S5 G r r 12 6n <br /> OZIKt6l 'o <br /> Item/Location Temperature Item/Location Temperature <br /> o �7 �4? ✓ <br /> f1l�r b Lot cooce v r <br /> a t 14 399 <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: �4e Hand Sink: /,30 �,.,7 of lorin�,} .00 ppm Heat: — F <br /> Exp.Date: _ i/_ W�w hing Sink: of IL41 '49 ��s�/ Ppm Other: �F <br /> Received By/Title: _Ito <br /> EH Specialist: �� Phone: <br /> Time in: ,N Jr Time Out: thy. 6 / Paget of <br /> q. <br /> EHD 16-24(2ntl pg)4/3/13 11v/ FOOD PROGRAM OIR CONTINUATION <br />