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o �"'" SAN JOAQUIN COUNTY <br /> rbc°o <br /> zc ' ENVIRONMENTAL HEALTH DEPARTMENT <br /> Y. <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • .. �r ;o Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sigov.orglehd <br /> 4{lFOR� <br /> i <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Z F Date: -1 2— <br /> adress: o / T� c City: `�"r u E Zip Code: <br /> r, <br /> Owner/Operator: r v 97) Telephone: <br /> Program Element: U C) Program Record: Cv GG 3 J V S b Inspection Type:Co►-n f, <br /> SB180 Posted ❑Yes ❑ No Permit Posted ❑Yes ❑ No Re-Inspection on or After: <br /> r - 1 -&OBSERVATIONS*JDi CORRIECTIVEACTIONS.__ _ <br /> Co M I c.-E r"I S f d id e L5 , rx 912e � - o N — <br /> �rcrn 41'a do r, End f; Ceor b,Con Ll rY?o. rle; h rir <br /> V C )/a.J or n3% yr <br /> 5' � L V 6tC 1" 1 Wc4 CJ . >C-I /G .r1 <br /> 41r ( hC4Wl L0c13 4D virchuS€ GrGf rt -4urn%c/ G}nd <br /> r bvt� ha I � XChc n e. Gnq r r�1t5Cy SC'4';'j <br /> ll U O d CGICIr' n r@� �. A) tt4r )LP OY\ S, a <br /> c 1" �s h PC/ cll�w e. <br /> U T C'inW n rY1 C4, J ; n e lry Selo Y�-f n n i n I <br /> M4 ; f 1410 ;n Cf or �1Ic qlj. <br /> i <br /> �ltem[Location Temperature, Item I Location Temperature Item l Location Temperature <br /> Food Safety Certification. Facility Hot Water Temperature War6was. hing <br /> Name: Hand Sink: F Chlorine: PP. Heat: `F <br /> Exp. Date: Warewashing Sink: 'F Quat.Amm.: ppm Other: of <br /> Received By I Title: <br /> EH Specialist; Phone: <br /> Time in: tt U Time Out: Page,of <br /> II. <br /> EHD 16-24(2n1 pg) 419/12 f7QOD PROGRAM OIR CONTINUATION <br />