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SAN JOAQUIN COUR <br /> �+ ENVIRONMENTAL HEALTH DEPARTMENT <br /> N: X <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> �IPOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: J -- '?=f Date: l,{_ — S <br /> Address: O ( 5 City: Zip Code: of <br /> Owner/Operator: a J \ I Telephone: 23 2 Q <br /> Program Element: �bZS Program Record: 5 3�q Inspection Type: C� <br /> 6180 Posted es F.1Rermit Posted �Yes 171 1 Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> c VI.71('\1 9j1 rt v C kg_� <br /> C <br /> -�i J )Li,Q-e_ S Z o►Z_ <br /> S -e JS�-Q ova%>T h J i t (a, C l - <br /> M � � F/2e - s c 2 <br /> inP�sv� <br /> Ck <br /> Vow QQ -E� c o <br /> 2 v � Jr 2R F <br /> SS <br /> c Ir t �-I q I= - <br /> , w Itemt>ovation . .. . _�� �.. -�,._ 3emperatufe item 1 Location Y. i Temperature <br /> C Ia2 _' r I1 ) ' 11-2 Fz <br /> lct( -lol`( C <br /> •/ c uH r <br /> Name: — \ ( . n Hand Sink: of Cvrm Heat: of <br /> Exp.Date: _ I ` arewashing Sink\: .Z of Quat.Amm.: F' ppm Other: of <br /> 21- k <br /> Received By/Title: <br /> r <br /> EH Specialist: _ Phone: 'i <br /> Time in: k 's� Time Out: 2 . 5.•5 • fy Page-2f <br /> Ig <br /> END 16-24(2nd pg) 413113 FOOD PROGRAM OR CONTINUATION <br />