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p ,....PQuC <br /> �N SAN JOAQUIN COU <br /> ...... <br /> v� •.pG <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 4�;F0Rt1 <br /> ;P Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ; Date: <br /> _/ <br /> Address: D 44 City: �• Zi47D CeK-jC*_) p Code: -2_0 <br /> Owner/Operator: I 1 _J Telephone: <br /> Program Element: i rogram Record: Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> G�Y�6��a -�-,U r►:-�- Drtle✓e A <br /> n 4- - -t CA r av e <br /> t <br /> ►-►�-cc La-k-e a <br /> S YY1Q t n, Ci LA)Ol Yee <br /> a a <br /> 60,-Con <br /> ®K.ed <br /> 01Cad r <br /> Se Y D r 4 c� �Z -i-- <br /> s ��ci Com. '►� r•I.ri rl_i - <br /> AzvDy- <br /> b r'o h vv moi-p- r <br /> Item/Location Temperature Item/Location Temperature <br /> ✓ti'C t 1I�gLl, aj 4,0— L <br /> P. <br /> o_ <br /> --- O �►-G�v -S�! '7 Z 35W it <br /> r r 1 rmF I `Ta coo F <br /> t� <br /> Foo6 Safety Certification Facility Hot Water Temperature Warewashing <br /> Name Hand Sink: F Chlorine: J,--*__i Czppm Heat: of <br /> . D <br /> Expate: Warewashing Sink: . °F Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialis Phone: n <br /> ime in: Time Out: Page-of• <br /> X06EHD 16-24 (2n°pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />