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SAN JOAQUIN COU►_ . Y <br /> y-� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . �q.. Nip• Telephone:(209)468-3420 Fax:(209) 464-0138 Web:www.s4gov.org/ehd <br /> LlFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: L 0 0.1 .g61 S J A LLL Date: D <br /> Address: 3 ►� 5 City: rq Zip Code: 3 �� <br /> Owner/Operator: Telephone: X21 <br /> S C -�P <br /> Program Element: j; Program Record: S iqO v ai -I 7 Inspection Type: <br /> SB180 Posted - Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> fc� 'G hen 1')18 h Ld u 111 -i ms <br /> _ Colre c l r'.C.- 1 ,0 Gatel i n <br /> Sea S ; W t � c O <br /> 3 �-A � I �'; }er f 4a O tni„ <br /> eL <br /> S P'" 9 a 12S a C. b Se rcol 61 6=0 di;yr <br /> ✓�� ) <br /> CrI rreCof ; *r �_v o <br /> �a u55 A r err t� r� Nn CO+ t> c <br /> CACA r Of4 a o ; n <br /> 6 C Iia ; h rcu cc f r i or 40 d Pni r <br /> 8 0W o Un or irony CCN nly'r. C-;A ar mal <br /> raw <br /> era Jo r b rep S ; nK i s WSPd Por <br /> G 0 de or re 12 rev; a. 5 )GS h NA � 12i-ell <br /> Item/LocationTemperature Item t Location Temperature <br /> — -- <br /> Bey - <br /> G 12 OGr 1 --- qI, C,I e- 1' - <br /> .;r'-1 1'r- 13t -o ;r 0 r) '1— <br /> flev '('i i- (1 9 our) Ui F 13c r-u;r (I •arc"") Wr <br /> 14 ( 14- <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> ---- ------ — --..........----------[Heat: ` <br /> Name: Hand Sink: Chlorine: PP <br /> °F m °F <br /> Exp.Date: Warewashing Sink: of Ouat.Amm.: ppm ther: of <br /> Received By/Title: <br /> EH Specialist: - e. Phone: / v <br /> 1714 or <br /> Time in: U C Time Out: D O , Page fof <br /> EHD 16-24 (2n,pg) 4/3/13 J FOOD PROGRAM OIR CONTINUATION <br />