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oP4"'" SAN JOAQUIN COUI. _ <br /> � . .c0 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . �q.. N;P• Telephone:(209) 468-3420 Fax: (209) 464-0138 Web:www.sl4ov.org/ehd <br /> LI FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: >^ a i �) !`� Date: (1-1 -7-4 <br /> 1_17.-4 , <br /> Address: C' Zip Code: <br /> -Tm 9S 3 76 <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> SB180 Posted Yes No Permit Posted - Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 1 _m A'Iaars Lj" IIS l lccr S .9J <br /> C <br /> n4 hoo + I PCr. Repbelet i it l 1 <br /> + a S <br /> 1 �11T �Pfic� p <br /> f t <br /> Re '_"-n ! V c/o,,).. n9 U i <br /> wu <br /> �S <br /> on C in JPr. Sore <br /> C10 � h On le bc'cllel. L , rrr cJ` f coo <br /> 6 <br /> roc l IX is clu i 40ro C/ h CJW e +_ <br /> Li /. GG' Y(� C ; n 2 Wee S <br /> o S is ac Cess, r, Je berc, wie c, ' <br /> eiu a � r. Re M 6 Ve L4 n ss c,r e rn ;Penell l fae-I <br /> icy e r h c/, <br /> 1A)a r4rl Wr, �� In Il' 9 S e-,n e <br /> dry <br /> c� ,•�-, <br /> So G W r, fe r r <br /> S 4i 0, U i / r L' ! i rP7 / <br /> G r ti Regol�� uJ <br /> Item/Location Temperature Item I Location Temperature <br /> Trkic ( re J ) V61 l" t u e r <br /> Food Safety Certification Facility Hot Water Temperature a c r ,, Warewashing <br /> Name: Vu li �o i Hand Sink: /00 'r of Chlorine: � ppm Heat: of <br /> h"i'A !q c r; Mcclku <br /> Exp.Date: I ; / 3 Warewashing Sink: ' Quat.Amm.: ppm Other: of <br /> Received By/Title: / <br /> EH Specialist: ( Phone: <br /> Time in: Time Out: U Page of <br /> EHD 16-24 (211 pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />