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SAN JOAQUIN COL 'Y <br /> N: X <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> cq., iP Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.s4gov.org/ehd <br /> ��Foaa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: i ;; <' f Date: e -1-3 <br /> Address: y City: �rr^ C Zip Code: 5 ;L <br /> Owner/Operator: J Telephone: <br /> Program Element: Program Record: Inspection Type: QG N <br /> SB180 Posted -.Yes No Permit Posted -Yes No Re-Inspection on or After: <br /> eS �foGM IC' 6 x.5 yj C4rM dor CCc,4 rrt Ir � � F <br /> 11 S I + 0s i art. Jioi1 G <br /> res dt cm r i n IJn olet <br /> 3 0c, ) rP u n 4l 5 ,f, <br /> �c, . C4 I Gorrer '14 <br /> !4 / u ov ler n 1 re 1 Je ! � <br /> V. ; )fj GC1 In 9 be Jwein h .7 �rti t . <br /> � uh 6 dlen lJ I h . <br /> o me d 0 11r, te IP Ls 6/1 ; n c' Ck r <br /> CA 5c' I C S J : C r/r t p <br /> I U 7rc4 �S T /qi A <br /> JG v iron r u I �n / <br /> -G! /11 S J 'r rC' C' r 0 /. A) r - Pti J cors. <br /> ccirpc G <br /> 9 �G 1rN (('' Arr✓1Pr 1 n 1 i r c f <br /> r G on I tOG r,; G C�crr j- ao �G <br /> C' t n ur\4 %er CeC4 . 1 ;CCjje° <br /> a- �u51 y / eTrs i nS�rC ><i on re/Jar J. CcrroCl <br /> Item/Location `" r Temperature Item/Location Temperature <br /> II i <br /> r P U a r !S• Che ,r y e, ➢c,l7/t <br /> 94 <br /> ru - GGA <br /> 01 I /` —rrvc .2-jorr ro �F <br /> < , 44 - <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> -- ._...._.. ----._.— - — - <br /> Name: Hand Sink: 'Gv k of Chlorine: ppm Heat: 'F <br /> Exp.Date: Warewashing Sink: of Ouat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: 17 '1J S Time Out: 3 Page of <br /> EHD 16-24 (2nd pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />