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tl; <br /> SAN JOAQUIN CoLNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> ! 600 EAST MAIN STREET,STOCKTON, CA 95202-3029 <br /> TELEPHONE:(209)468-3420 FAX:(209)464-0138 WEB:WWW.SJGOV.ORG/EHD <br /> i 4�fl=_ClR/ <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: U- ,, Date: 17-c <br /> Address: • i; • ri,R S� City. �Q Zip Code: <br /> Owner I Operator: $ 2ril/�R Telephone: <br /> 83in? <br /> Program Element �/Ua Program Record: Inspection Type:(&n <br /> IS 6180 Posted es ❑ No Permit Posted 19yes ❑ No Reinspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> O /Aj -(-e:- '4 d t k aTZe <br /> R r wCr JN <br /> - 5 r n U L-5 r7---- <br /> 9R (Iv o U-�R��' R b N <br /> W CLr� 5 Fns 2>a P t�/,Lcfzf <br /> 5 f1 tir 50,kT70/-.,? 6 N A�.I- rz <br /> / T" Dow IV R Yup, r <br /> r S Shy D c- 7NF 5 RAN& :x S wlF�,L til- C� rS T5 <br /> BrUF C9SE <A S�fZ w C�av�jaryrr j] /Jrs(r�R17 l� �I�' l,Y L�G1iREt <br /> 7Ytl <br /> i <br /> Item 1 Location Temperature Item/Location Temperature Item 1 Location Temperature <br /> Food Safety Certification F r tyNot Water Temperature Warewashing <br /> Name: Han Si k: of Chlorine: ppm Heat: OF <br /> Exp.Date: ar a hing in OF �uat.Amm.: ppm Other: of <br /> Received By 1 Title: <br /> EH Specialist: Phone: Tr <br /> H <br /> ime in: Time Out: r ; Page�of/ <br /> EHD 16.23 (21d Pg) FOOD PROGRAM OIR i <br /> 05/15/08 <br />