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SAN JOAQUIN COUR <br /> ?a ENVIRONMENTAL HEALTH DEPARTMENT <br /> N: :{ <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.sl4ov.orq/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 1 u o ,r 0,nd `, Date: 1 ' I <br /> Address: 1� U Pc . 6G S-k City: / Y-."o Zip Code: gC22 <br /> Owner/Operator: 1 t ���h G �-�'a�2-' U Telephone: <br /> Program Element: 1 /. Program Record: p �G 9-z(0 Inspection Type: <br /> SB180 Posted Yes No Permit Posted es 1` No Re-Inspection on or After: T�IM�I,,` /U <br /> Y l <br /> OBSERVATIONS AN©CO > ECTIVE ACTIONS <br /> .. m = �v <br /> `YhP. dr r\ 1pr-ew is, O t `F- prrjiuct +o 41ef elow <br /> 'w&t m rspar-tan <br /> f co food Ccs i rots cre VAWAod , XAW <br /> �rY j � C t�Gllf�l''S jh t-t1.Q <br /> bad Iowa - trda -` -�n -t- 1 . <br /> Ne& at irlve wAu awck are s �►pd ite ckotm <br /> CCK sir rn a WaoUa Coy-kamaf- irdav <br /> 31(w_Q a /1i go U d 11- U G" Vrm R M W+ <br /> fig bl lo, " v a4- e1+- ord - vncacu -M fiM 0TWAY1 <br /> CA9WOO ft k4 i t cmi-ke l�Z 00 i w X11 "Ain O <br /> l,'nf k 1 Ck q;ti�) eIc- (2-t -of ci- tr�a 1vY_6"A moa-0-12- <br /> Item/Location <br /> oa- rueItem/Location Temperature Item/Location Temperature <br /> 1 d( r- r 5 I`'F C d r --- --- <br /> isvz 3-T <br /> r�p in CW(" A <br /> �H00 I r-( - w M�Ct c - j6= <br /> d r,Svt �1'-�c;T-- c� � 3 <br /> Food Safety Certification Facility Hot Water Temperature` Warewashing <br /> Name: �L 5C3 Id Hand Sink: VU of Chlorine: ppm Heat: F <br /> U�1. <br /> Exp.Date: - f } arewashing Sink: ��v of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: :---i�+� Phone: <br /> Time in: �� ;I Time Out: ` . Z� Page of •], <br /> EHD 16-24 (2od pg) 4/3/13 l FOOD PROGRAM OIR CONTINUATION <br />