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ao.P4 •.gA SAN JOAQUIN COUk..jY <br /> _ 2 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.siaov.ora/ehd <br /> 94/FORS <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT OLQ" <br /> Name of Facility: p-0 (4'` Date: 2-1 <br /> Address: P7 v- V +o City: L Zip Code: ZO 7 <br /> Owner/Operator: 6IR~•�•�'vc o Telephone: 519—A.' 91 <br /> Jr9 —A.' 9 ' <br /> Program Element: (OZ Program Record: P 9-0 15-bay 4-7 0Inspection Type: 1�-�LYS <br /> 6180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 1 ( -v i oLo,-hc» ,� w;Vmac.n 2-1- w-eVe cor►Aee l-cal <br /> Y1 01 E D A Z no fi c.e- l 41 ci e ro oek-I <br /> IA-Szd r in od • C-e�U rL rn, a►tid <br /> A5-', i..1 r00 tV) ne no { v o co cLe <br /> LA se- 1�:Mon onL r ra o <br /> -,A ✓t5i_15p ►� f�_V._j� _ o0 . <br /> t: 4-a Kr-n. 0 la co ._ _ r-e121 a C-0- Coe C;n <br /> Lxc 4 i n I c oa kal n#s a fL <br /> rt icy baa-e Ci:. o + r>�i <br /> _h�r�� l wh_ b►o I and cL� wr.L M r <br /> Item/Location Temperature i Item/Location 'Tempe'rature <br /> I <br /> &)o J,-'T Vu-e 51 m� c 1I"F- <br /> Food Safety Certification Faatity Hot Water Temperature - W('I washing <br /> Name: Hand Sink: 'F ClLorirt r O ppm Heat: =F <br /> _--_. _..._ C� / _._ <br /> Exp.Date: arewashing Sink: =F Oust.Amm.: ppm Other. -F <br /> eceived By/Title LOA ArkV J., 'L <br /> H Specialist: Phone: G3 {� --- <br /> !me in: Time Out: ! Page `of <br /> E101&24 (2-pg) 41Y13 FOOD PROGRAM OR CONTINUATION <br />