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SAN JOAQUIN COUN' <br /> y+ ENVIRONMENTAL HEALTH DEPARTMENT <br /> H: X <br /> Y. 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.or /q ehd <br /> 4ciFoaa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: "7—kz- ' C 51"Q70 <br /> Date: _ <br /> Address: lt'q a .*c1 City: ` Zip Code: <br /> Owner/Operator: L�' �I t`� 0� 1� Telephone: 27_ ;a <br /> Program Element: G c;;'- Program Record: 0 -3 �;-C-7 Inspection Type: Q <br /> SB180 Posted 7-Yes No Permit Posted Z,24es No Re-Inspection on or After: <br /> . k, � .: .. . .,, OBSERVATIONS AN©CORRECTIVE ACT!ONS: <br /> Is +' e 4.~` <br /> L T Tr-r%.e 3 0000 S �1 4- CO .ertc,cg Cc ' �$�%, �c ►lam S� L <br /> 4-C o �e lug► �-oda�,r• -- - _ <br /> P ik 6VNO, - --- <br /> Temperature Item/Location Temperature <br /> Itern/Location, <br /> i <br /> I <br /> Food Safetyfw" d1on s facility Hot Water Temperature Wrewashing <br /> Name: Hand Sink: ( � F Chlorine: ppm Heat: of <br /> Exp.Da : ✓ arewashing Sink: j of Qt.Amm.: ppm Other: of <br /> Receiv6d.By/Title: <br /> EH Specialist: M 1. / Phone: <br /> Time in: ' ;r Time Out: _ Sp Pageeof- <br /> EHD 16-24 (2n°pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />