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SAN JOAQUIN COU t <br /> 4 ENVIRONMENTAL HEALTH DEPARTMENT <br /> - = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> meq•... ...�;�P Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.si oc� or /c�ehd <br /> �rFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: bu-GIGS -F-FC X-- Date: -a3—),5 <br /> Address: O C—) v A-, � City: 6+0 C4&, tt�� Zip Code: el 5 V_.Q 7 <br /> Owner/Operator: ,/R Telephone: 47 Ll 302 <br /> Program Element: I 2L4 Program Record: P P-0 !J l'?J3f Inspection Type: <br /> iSB1 80 Posted Yes No Permit Posted )(Yes No Y Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> l <br /> oo b ry K p rt 7F--ew- bcz �-,e -+-, (.e s -- <br /> -- ©1r r S.S_� <br /> temtt_ocapon. <br /> aT Atem l;Locatron, ...x .. 7efiperature; <br /> Y' �YUR- _ p I cLoO r i-Fi-e I � An 8 wy. <br /> r r ZZr Fvvrl cliso <br /> 2 r Ce v^ 30 <br /> ; <br /> Tenat <br /> FoQd Safe Certificat>on m ure = s YVarewashm <br /> tYa�o .� Pe g <br /> Name: e)ne, W9 O cf Hand Sink: i, .� of Chlorine: ppm Hat: 7 of <br /> Exp.Date: 3 _[J 'G arewas 'n SiInk:: al of Quat.Amm.� ppm O of <br /> Received By/Title: l J <br /> EH Specialist: - Phone: <br /> Time in: 10,' .2 6 <br /> Time Out: /, Pages LZ- <br /> EHD 16-24 (2n°pg)4013 FOOD PROGRAM OIR CONTINUATION <br />