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SAN J OAQU I N 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.5IG017.ORGIEHD <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: P��O Date: <br /> ddress: �} �Cs City' a� L'1(J�>U Zip Code:?cx(; <br /> Owner 1 Operator: CSR V Telephone:Program Element: ,ji!/ „o ti Pro am Record: C Q'�G Inspection Type: <br /> B18O Posted Yes ❑ No Permit Posted Yes ❑ No 1 Reinspection on or After: /s,0 <br /> OBSERVATIONS AND CORRECTIVE ACTIONS "C] <br /> C01*7 Aq(xrr 5wws a &rkxe�u 7'#/0 CSM 7- Cowl PARrK-WAIT q4& r?r I1417CM <br /> 13�►�4 CaN� Iry T +v7-5 r S ig 1D 6otf6.#R04f57- .� J4&'Aly A 0 cc <br /> ,Q ,S wl 7`6"S o TrR.+G- <br /> /bu fN $o D y f}l' s �9t'Hi ff� 1Jre r r r�tiG- !v� A i�12 R 3 1��yRR hlfq <br /> 4911tD 19fi4n 6,y tilowrlTiivG t/R/l[- Rao /�/ 97/0-ff <br /> 1�nif R TdGJC-f- #04C)OZ. /N 7*f McAI 5 POM 1S M s /l�L D/ <br /> N* Pfi0tk POR K 447-tRS_ <br /> P15d4 RD 7NIs 9XiS - u KEPT` AoTo R OoAb <br /> Et1ER /�-T R✓u�E. <br /> l <br /> a <br /> Item!Location Temperature Item I Location Temperature Item 1 Location Temperature <br /> Pili �Pa2 -STI cg`I <br /> Z 3 Sl r I aR ZU <br /> 2 - 47- !/64E) 106 1q1/S6 <br /> Food Safety Certification Facility'Hot•Water Temperature Warewashing <br /> Name: ��I�r11V S. Hand Sink: r OF Chlorine: ppm Heat: OF <br /> Exp.Cate: j arewashing Sink: I of Quat.Amm.. ppm ther: of <br /> Received By 1 Title: , <br /> EH Specialist: I Phone: <br /> rime in: Time Out: PagIs 1191:' <br /> of <br /> EHD 16-23 (2n1 pg) FOOD PROGRAM OIR <br /> 05/15108 <br />