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(4, <br /> a�.In SAN JOAQUIN COUNTY <br /> ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> .� Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sioov.org/ehd <br /> l FOA <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: o v 714,1 M A-S A4LR City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: / �� Program Record: S4?0 Inspection Type: Qp/ <br /> 8180 Posted KYes ❑ No Permit Posted kYes D No Re-Inspection on or After: <br /> OBSERVATIO[dS AND CORRECTIVE ACTIONS <br /> eor nTo-i a s s a « <br /> 7a s - Ge� sa u aeedrl- <br /> G✓LL 'ZZ2 `S /�? / /C " /3/�f � YI�71 L/dl r <br /> ivt Q " S'F <br /> TrAv-1 .-i;,hie ! C l e i�- -)ad <br /> • Sar.. - z¢-t - - n?' <br /> 5i>7 b l <br /> ----- - - -- — <br /> Item/Location Temperature - Item/Location Temperature Item/Loc tion Temperature <br /> ra Cry 3 - <br /> w a d t 6 r T o / <br /> Sa_r9 dwrte1s _ Go /` o w< T� S <br /> Food Safety Certification '.- Facility Hot Water Temperafu <br /> Name: { / Q C�, F Hand Sink: �� "F hlorine:-_ /rte ppm eat: .F <br /> Ce <br /> Exp.Date: A11911- <br /> 0 S arewashing Sink: .F uat.Am�/ms.: Ppm her: .F <br /> Received By/Title: <br /> 10 <br /> H Specialist: Phone: <br /> Time in: UD Time Out: Page of <br /> EHD 16-24 (2w pg) 11/209 FOOD PROGRAM OIR CONTINUATION <br />