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SAN JOAQUIN COUN <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> X <br /> Y. 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.orq/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: C / o'5 J4 re c 4 1 Date: <br /> W tA <br /> Address: 31 UJ. 10 <br /> t" S-1- <br /> * City: / r c,C Zip Code: q5 <br /> Owner/Operator: MIM/ le Telephone: 272�./j <br /> ''r r <br /> Program Element: it) r�1 I P gram Record: S 3 S 12 9 Inspection Type: �e ie� �J, <br /> bb <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> dlararLS rreceyccef <br /> S4 er+or 2- ( Oar- ClQr'e) h 0s ke <br /> (P 0 P en bL, I - loo 01. S+ore all ba 1K -Poo d i e\ a cleanable <br /> con 10;ne.- V) ; a /. rt 't WQ14 <br /> Prby,, dl load {Ian til er- ca r'15 -Fer e GG/ r rl <br /> n I wee K. <br /> r'ov; ale roh a 0 o �cr roA h A ti <br /> nl( i r\ I %deeK. <br /> Pro-v-, 4e SaA; Iilp ��s� SI,; i Wee <br /> Item/tocation �.. :Temperature Item/Location , Temperature <br /> S r , ur )-U cr <br /> - ---- — -- <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: 7PAl Hand Sink: °F Chlorine: ppm Heat: `F <br /> F <br /> Exp.Date; /I 3 _ l ri arewashing Sink: of Ouat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: U Time Out: I. I Page/of/ <br /> EHD 16-24 (2nd pg) 4/3113 / FOOD PROGRAM OIR CONTINUATION <br />