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Pct N SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> • �q.. - ;P• Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: + j Date: <br /> C n c , J, - r 6, <br /> Address: i0 <br /> I{h 'S City: rVj <br /> Zip Code: <br /> Owner/Operator: To j Y 1 Telephone: <br /> Program Element I J Program Record: /6 <br /> y& Inspection Type: <br /> G <br /> S6180 Posted G Yes C No Permit Posted Yes ^ No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> .{ L'q b L4n G <br /> Zr U r ✓ . c IF Gre01 r 1 v . r ✓e-�� <br /> 10 Cc11 Ye rsfiocI .e.l <br /> ISl f 2- Uor) Ur hU _ G <br /> ci D P— <br /> IF <br /> U S <br /> vt e lr D . { I r ( tii'j LA <br /> rC� 1 U ; 1 i • 2 l.cJ <br /> C� 1 <br /> i (✓1 W C4 +P r U S in A C �� b C. <br /> r <br /> 77 <br /> :- - - <br /> c, RoomJ. <br /> &— <br /> r <br /> L2,- ckc r - / 'I' �� SnAC� b4k <br /> Item/Location Temperature r ^dem%LocaEion'`' T P Temperature Item J Locatio` Temperature <br /> I sC r. r TI K r e ) O j r f-1 e C,. 1• J - <br /> Ir <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: r i ' Hand Sink: r I/� 'F Chlorine: ppm Heat: / ��/E ZF <br /> Exp.Date: lJ arewashing Sinnk: ;1 of Quat.Amm.: ppm Other: ! 'F <br /> Received By/Title: y 7 <br /> EH Specialist: Phone: <br /> Time Out: , Fjl Page of <br /> EHD 16-24(2ntl pg) 11/2109 'f FOOD PROGRAM OIR CONTINUATION <br />