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SAN JOAQUIN COU46 <br /> X ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sbgov.org/ehd <br /> �rFOtZ <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: G i -L � Date: 5-4p_ 15 <br /> 2 � <br /> Address: —f 1 1 SSC 1'Yl.4rl,e 1YL City: C J T_ALL Zip Code: p/6 2-0-7 <br /> OwnerlOperator: "-T Yom, �tJ� {� c� CS 7v Telephone: E3�5 5_3'7„�7 <br /> I 2- <br /> Program Element: I (p-zq Program Record: O 1 Z—74 Inspection Type: <br /> SB180 Posted ❑Yes ❑ Rermit Posted ❑Yes ❑ I Re-Inspection on or After: ZW P e-K.S <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> , y-c ro a_r h_ i� K4 Ar- Le n h”n CA S +ti,K- . �'c:n-h rLi.L t_ pw_m-r <br /> n+4-0 co rn PA n 1-1 cit 1.1 C'm -e V-e r <br /> F h-CA- p <br /> r o .a- a -1-e <br /> CL 5 r <br /> vn,c_ to 6 r Q Yt_a kA V-e <br /> ►.,,r- tq 014-e I o,os,e 4-i Lt +ck Z I C.")-, . '_R -q Lt Le <br /> yj <br /> all5 r ✓ r a� �-e ct v.cY a.Ll_ Va. - <br /> �-cr a ce- in Kms' 4-,c 1--e n a t tm I <br /> cil.e�n d� (•�, <br /> U i -{-+ AA-W 4-19-15 LA.)-e-v <br /> e,54- vi-­ro I A- Ex r h a ck 9127-)15 <br /> Z p Y Od A re Lr - ----- <br /> 151! �R rY`. tclrt 7stit Warewashn� <br /> Name: Hand Sink: F Cne I 0b ppm Heat: 'F <br /> Exp.Date: Warewashing Sink: 'F Quat.Amm.: ppm Other: 'F <br /> Received By/Title: _11 <br /> EH Specialist: Phone: <br /> Time in: O r OO Time Out: 1(c)" Pagel of <br /> EHD 16-24 (2nd pg) 413113 / FOOD PROGRAM OIR CONTINUATION <br />