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to. <br /> SAN .1OAQUIN COUN' <br /> p ....... C <br /> 2� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c... _ iP• Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.s4gov.org/ehd <br /> 9��Fo•Rt1 <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ��.�` x-. � fin} Date: <br /> Address: 1 `-c t, (I V I n City: "Atc ,v-+_, Zip Code: 2Q 4- <br /> Owner/Operator: poo I n"� `"`Jf CJ Telephone: b 4`cci S� <br /> Program Element: Y i VC)C) Program Record: CO 0 u j ff/ Inspection Type: ((:M 0dot <br /> 6180 Posted ❑Yes ❑ Permit Posted ❑Yes ❑I �I Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> U 1 h Sfiz.�le� fiUu Rant-- -t ndcWS o n <br /> ec 6 0, , c U r -fi h A N e r t- <br /> 1 60fihrz� w 6 `6 I11� <br /> - b► � r C� -Q. .SLS C1r-� iV �r U 'W l Y1 e�S , CGr �" r <br /> G S� cRSMS <br /> 4 r C ;E- � *eta M \/1-cis 1 Gl�cl <br /> cA1 C GINA n-K-9 • . <br /> - .S17rr G �SUk '� t- i h i Th-e, G �R i <br /> O� l <br /> r a - <br /> -_ _ <br /> 0610 i(fin ►v • c"! v ej' ;t t\i n C �r <br /> _ NWC --- - <br /> ItemlLocation �Temperature Item I Location Temperature" <br /> Food Safety Certification Facility Hot Water Temperature F Warewashng <br /> Name: . � Hand Sink: -� F Chlorine_ <br /> _ e _ _ ppm Heat: of <br /> Exp. Date: Wairewoshing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: _Z�7. Phone: t-- <br /> Time in: ( j Time Out: Page of <br /> EHD 16-24 (2nd pg) 413/13 FOOD PROGRAM OR CONTINUATION <br />