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SAN JOAQUIN COU10 <br /> � •.OG <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: O 4— i -2-2-CA— Date: !�6 <br /> Address: I 12 <br /> -12-o <br /> _CJ �r i e- � City: +0 G�� Zip Code: <br /> IPLO <br /> Owner/Operator: '-T � �� LVI Telephone: p/6 a` <br /> Program Element: '��� '-^ Program R rd: (Z 0 I Inspection Type: _ WF7 i3O— <br /> FB�o <br /> osted Yes F Permit Posted Yes ❑ I Re-inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> lobe-( Lv-t ve' e4 yl P. f <br /> O +=5 nd (.°OC <br /> -1-�e lu Ii v� la c.� n 4 5 cx . <br /> t Lo <br /> ->f A tc, cc a7f jcoor" 4-t rrt r-a4x)l u <br /> I'Ll r r U p h N r r aka w' <br /> .r 4p <br /> 5D 1A n s I a-c i rU 4i-z-i a k7 -N TZI n fie_ <br /> -H 2ge IQ r ao 5-e-qo n h O1q1'e'qC_b . <br /> riQ .-e Al s anti 2-�rt -5o L444i L44o <br /> -�- ,.Q in tp wt_ 44,U fj O W L <br /> V6i U r S O UL. 'o <br /> Scoo ?h ;d e._ Lcx- n2aIce r )wee to r-e- <br /> ro I k5 I a-c.K. h rn-c, aSa b Vr' a -1 can-Iro <br /> 14 a < ? r hr <br /> rZs i 15 �n CA r d o of r a l a -h'C <br /> W L—� j t Ga r � r c�ffi Ge S re_ — <br /> L tip rm47.> co v e y- w <br /> Temperature <br /> �d w�- I� �,v��� 41 OF <br /> -T-Vkje-' CT - 7777 <br /> -door arc <br /> Food Safety Certification Facility Hot Water Temperature Warewashing s <br /> Name: xHand Sink. o Chlorine: Heat. o��✓i V�In I 1�C1✓1 _ Ia� � �v�-U. F ppm F <br /> Exp.Date: I are shing Sink: r. of �Quat.Amm.- ppm Other: of <br /> Received By/Title: <br /> EH Specialist: G Phone: <br /> ° ?$ /7 <br /> Time in: ;iO Time Out: ') . PaS of <br /> EHD 16-24 (2ntl pg) 413/13 0` FOOD PROGRAM OIR CONTINUATION <br />