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oP41`" SAN JOAQUIN COUi ' <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.slgov.org/ehd <br /> FOOD PROGRAM rOFFICIAL INSPECTION REPORT <br /> Name of Facility: ] huC�1�'S COf�ec ><1-t c) Date: V 15/ 14 <br /> Address: 2 2-Z N 1 b c t� St City: stow. ,tm Zip Code: v)5)-02 <br /> Owner/Operator: �: bUC'y--S C p-�feQi Telephone: 4rv-3_(,p <br /> Program Element: I �� Program Record: 1P JZ UC�pZ'2 '-)4G Inspection Type: -b fie ` <br /> SB180 Posted VYes No Permit Posted r es n No Re-Inspection on or After: s-- <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> gMall sic¢ Will1DCI& YeS UR, <br /> h dr lveib d C L n -folds . - oc4Twed Cm <br /> si <br /> Si k- f Ccrm sink AA voS S a <br /> a <br /> VpA <br /> i m . imVewon Cwt- cam` S`r <br /> Item/LocationTemperature Item/Location Temperature <br /> ldr Coo(af OA+1� + "1- <br /> f P.21 fief 3Sj"F <br /> d r SOY)d\W, 4 - <br /> -� r i <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: p U11 - Hand Sink:�CA1 u!\ of LChne-' Ppm Heat: of <br /> Exp.Date: 1' It , Ware hing Sink: �Z�V of .: �� ppmOther: of <br /> Received By/Title: <br /> EH Specialist: Pho e: 6 d <br /> Time in: i )Time Out: :SCPage2of 2 <br /> 1 � V <br /> EHD 16-24 (20°pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />