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tl � SAN JOAQUIN COUNTY 4112 I <br /> ' ENVIRONMENTAL HEALTH DEPARTMENT <br /> N: X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sogov.org/ehd <br /> '9CjFORt� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: N ���� Cl4« —�� Date: /O_7' _1 <br /> Address: / 3. f! / City: n Zip Code: !! <br /> Owner/Operator: T Telephone: <br /> Program Element: /6 � Program Record: A O 2-7 Inspection Type: <br /> FB1 8-0 <br /> Posted Yes No Permit Posted Yes No <br /> ( <br /> � ��Z Re-Inspection on or After: / ^� <br /> r <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> to -IY "v r w hp L,6 -m yia Ye O <br /> -e ca, of <br /> 1, © O <br /> 10 LjP <br /> 17 <br /> n�i h <br /> AF n w -I-c <br /> Y --( r ha s 4 n n nfe siA7 GL <br /> �.e r !z <br /> —ri r�—v-- n i —a- <br /> e 4 <br /> r <br /> 4- <br /> 4; ,--A utas hc4-h -]- a-e Y s( <br /> ht&.t., h rr► off- C.r' <br /> s O v rq r ay r7dW <br /> W 4e►✓ _/_ '10 / ° Cct rttl cJ n&p r <br /> Item/Location Temperature Item/Location ure <br /> Food Safety Certification'- Facility Hot Water Temperature Warewashing <br /> Name: Sink: �r eat:42 F <br /> °F <br /> Exp.Date: arewashi g Sink: tAther: °Fm�f ppm <br /> Received By/Title: I <br /> EH Specialist: Phone: 163 — r� <br /> Time in: Time Out: q:10 / Page/ of Z <br /> EHD 16.24 (2-pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br /> A <br />