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°�'�" SAN JOAGQUIN COUNTY <br /> P •• <br /> �0.� .CGG <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> cq.• .��P Telephone: (2_09) 468-3420 Fax: (209) 464-0138 Web:www.sl4ov.or /q ehd <br /> LI FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ' /a Z� /oj-." 1. Date: <br /> Address: r G�� rG City: Zip Code: l <br /> Owner/Operator: _ti / - Telephone: l7_3�/— 3/3 - <br /> Program Element: /GOU Program Record: 3 -1 S Inspection Type: <br /> v Cv�o• 1 <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 8 <br /> IAIC <br /> 01 <br /> o <br /> iza 'Ui i � li} GrI—Oris �i 011.:3 (�v� <br /> c ct.r1�i Zn+ —7 fits <br /> ,,Lb Cb)-l.D( w <br /> c �./�n Gi✓,iZx �w ���;�-�-.. �- .�4�,z/C�-. �L[_ / 7�„vl S C-c�/4�.�� � <br /> — � --�! �r �-yc ?zy.�: rJl� / rhZ Lel, �•a / Ir <br /> i1Ftis _2Es j70o;�� — / �- "fi vA�Ti f�S.t' i��-rwJ - i}�� / �, :: l� — �`- °(— <br /> Item/Location Temperature Item/Location Temperature <br /> COOP— I►v <br /> �u S) u,C- U'c L'T U. k,! <br /> , f%)(.:, S I N IL 'c k'T- Cc r FEe. 1f1 fC,­L `r= <br /> iz#�• �i lz _ �iN�,1.�"51 �i �Z,�.' 7� /3C4"J 24 e".; 212; Rc`p`t /C! OF <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: // of Chlorine; .\ ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Ouat.Amm.: ppm Other: of <br /> Received By/Ti e• <br /> EH Specialist: _ I Phone: 4 <br /> Time in: 6 _'(/ Time Out: f Page Pf <br /> EHD 16-24 (2"'pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />