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SAN JOAQUIN COUN' <br /> �+ ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �q.. iP Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.orq/ehd <br /> �/FORS <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility., �� ; et ` Date: �_ <br /> ddress: ( City: r\ Zip Code: q <br /> Owner/Operator: �S \1 O ` Z U ` e Telephone:333 U <br /> _ �Q U 1 2 <br /> Program Element- \\o2 3 Program Record: S 1 c Q Inspection Type: C U c�1 <br /> J V .� <br /> FF8-0-P—osted F1 Yes ❑ Rermit Posted ❑Yes ❑1 Re-Inspection on or After: Vje <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> C `3 q �,�� c \,\CI-7 L')C' 1. v <br /> ,re 1-e_ c 1 <br /> S-� 71 S , <br /> 2 � <br /> oc"G +� ' <br /> SA- (2-n►Q c�k j�rl � cm 465-�-Jylc..O 0- <br /> AA-2 <br /> A-2 vl 1 <br /> 'Sr <br /> `3 r\ <br /> 4 <br /> �-ac-(- <br /> C ex r VZsz_1-�r�CA <br /> U 0_jCt <br /> w Temperature Item 1 Locations Temperature <br /> w )`acili o aterem nature Warewashing <br /> Iame: Hand Sink: 'F iChlorine: ppm (Heat: `F <br /> Exp.Date: arewashing Sink: ' •� r1t of uat.Amm.: ppm !Other: 'F <br /> Received By/Title: 'V\N01' 005 <br /> EH Specialist: 1_ Phone: -A 1013_ 03.30 <br /> Time in: 110:� Time Out: 1 1 Page 1 of <br /> EHD 1624(2r4pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />