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oP41'"' SAN JOAQUIN COU Y <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ' •.. iP• Telephone:(209) 468-3420 Fax: (209) 464-0138 Web:www.slgov.org/ehd <br /> qL/Fo'�id <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 0 ''0 n a I 1 le_o rll Date: -1 -219- <br /> Address: r-t t" \ G ( ^n one-A-as+ City: 6+0 „ta n Zip Code: 4215� <br /> Owner/Operator: � r1 '%h e e r5 �O C�l`ec..-�S !Zn c— Telephone: O 6, <br /> Program Element: I('P I'') Program Record: (2-O al.Lo Inspection Type: '12oo-H <br /> SB180 Posted Yes No Permit Posted Yes o Re-Inspection on or After: �7 <br /> OBSERVATION$ANQ CORRECTIVE ACTIONS F <br /> wt Y. 1 La is)5 i-V .e r S c_a o Pz d L r-e a -+ <br /> - --4 cL 0 r 4-e <br /> LA <br /> jwz�.A&11 ire-fZ) 92 1 S*I---+-' <br /> �u} 1,..2/1 , ��, �O <br /> 1/ cwaLV V-eciQ•-1 r r <br /> rri2 r U c°F Y LoW_Vr <br /> 14) e +loom o r h o l — a_i-Y o r <br /> ro tJ'I li'"�•Q c <br /> w r vs _ell 4e <br /> Gt l..��lii,��-fl rjn <br /> C tzf r1 a 5 0 a V10r - Lu lA of k r," e- - o t..\ <br /> o Y nsoy W MLL <br /> 1-.12-m we i» r►-�o <br /> ZrC- C.0 O f2 LQL-�a bD je CXR MaL Y 412 Y-1 s i <br /> YLA <br /> ei?)OX$S A o 0-n T lC 0 Y <br /> t> c O '/ o <br /> rD-ta c.IL V j 6L c_1c i �-i {° l oo r- cn><�-Z LJ r► 5 e" ;" CA v C-C-C" n -rL- <br /> Item/Location Temperature Item/Location Temperature <br /> r . Y VI Q V\ 60 y) a I N <br /> f-r r � �35� t ✓ y6 <br /> IL 15citl <br /> Food Safety ertification Facility Hot Water Temperature Warewashing <br /> Name: r.0 1 14R i Hand Sink: I U I of Chlorine: ppm Heat: of <br /> Exp.Date: 2M ing S k: t 1 r) o f Quat. mm.: �()ppm Other: QF <br /> Received By/Title: <br /> EHSpecialist: Phone: <br /> [ nom <br /> Time in: 11) Time Out: D= Page.2 3 <br /> EHD 16-24 (2^d pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />