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SAN JOAQUIN COUNT <br /> ?.. ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • .. ;P• Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.slgov.org/ehd <br /> '�G�FORd <br /> FOOD PROGR M OFFICIAL INSPECTION REPORT <br /> Name of Facility: k C1 ,e 4i / y Date: 2 <br /> Address: q7 . City: �' ` Zip Code: <br /> Owner/Operator: `/ Telephone: <br /> Program Element: / Program Record: y Inspection Type: <br /> B180 Posted NK <br /> es No Permit Posted Yes No L� Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> I PP✓YYI,L Y1 U OI t'/ G 10lo . L_!i'd" V1 e4 ?G!!:7 <br /> ✓1C (J rig=;- v�f G<liil�GP . ,d/L� GGt�yu2/7 <br /> Pik <br /> Item/Location Temperature item/Location Temperature <br /> - <br /> 9b h4 + �v� ✓✓lir l <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: ' of Chlorine. ppm Heat: F <br /> Exp.Date: arewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: _ Time Out: Page7of <br /> EHD 16-24 (2^a pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />