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oe4�'"• SAN JOAQUIN COUNTY <br /> ?. ENVIRONMENTAL HEALTH DEPARTMENT <br /> 500 East Main Street, Stockton, CA 95202-3029 <br /> • ... ;P Telephone: (209)468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> 9��FOKa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: '—� r I Date: _ 72--16 <br /> Address: 3 F rH S r City: Zip Code: <br /> Owner/Operator: �Rq�y Js t q,l' 0,$vf 1 A004L- Oe S f Telephone:��� C� ^�0�� <br /> Program Element: O Program Record: SR 0(3 S5-6 yG Inspection Type: ptgw <br /> SB180 Posted Yes No Permit Posted -1 Yes r No Re-Inspection on or After: <br /> BSERVATION11 S AND CORRECTIVE ACTION <br /> W lv1�G-- L�'vl/ru�G- r!u _ Sf��•u��F 19'R�-� /w�v- riv v P�-t►[.�rS ., <br /> Soc P VE, k Q 7Z&-� prsd9vS<-<5 E I rk-2 /moo-' 4L <br /> (71 NoT 7-R t Pl -- <br /> 1 r Na Q" <br /> 06 <br /> r H4)*5 KS �t�>tLRC> tiT D i AENSE�Sr <br /> 06 U t MG c'- I k* r LSo :M <4 Hh4dL <br /> J9 UP lAoP lvIQ'.+C 6A.0 9,41411t ?� <br /> 9 ; s /I/kb A40N--1A SlzeZ !MFeOiFS <br /> 5MAq, PS Kalilu� J gllTa I�4L 51 A� S �� C�/°1�`/CSC K To l.�Al,L,t aNb <br /> Ft3t4rHR0Cry 1--&R o-t 1>V 7 d Il r OF <br /> 19 - NS7`1�t—le Is <br /> �tcEe,�v,��esv-o nr <br /> u1.IWMR Sr x.KS <br /> ILA <br /> ` t ��D /�T 7R►c+9r� ocl <br /> NbTE; 3 - vo k STa o errs Her wook d K <br /> Item_I Location 'emperature <br /> Food Safety Certification' Facility Hot Water Temperature Warewashintoi <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: OF Quat.Amm.: ppm Other: of <br /> Received By/Ti t1e: <br /> EH Specialist: PV r y� <br /> Time in: Time Out: , 'I Page>of <br /> EHD 16-24(2n1pg)'11/2i0g FOOD PROGRAM OR CONTINUAT17 <br />