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SAN JOAQUIN COU*t <br /> Z, ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • •.. ;P• Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sogov.org/ehd <br /> 4LjFpRta <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 5 C,/6Vj e j Date: 10 - 2,9- 11 <br /> Address: <br /> Q - 19- <br /> Address: �l OU r City: Tra c Zip Code: GIS37,6 <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> SB180 Posted Yes ❑ No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> u I d - <br /> GIPJ*A IIS I t) eeI <br /> J �G : I; I Y {� <br /> li S <br /> } <br /> &At Vi & Is. ai G J i 2 We 0 le <br /> 49 f_rrqFE#= f;II scoo 6116 <br /> t� �o -fc Qe Pr <br /> Item/Location Temperature Item/Location Temperature <br /> I (A j , <br /> Food Safety Certification Facility Hot water Temperature warewashing <br /> F_ -- .-..._ . ........ .__H <br /> Lea <br /> -- ---Name: Hand Sink: o Chlorine pp :Exp.Date: WerawacJaiw�Sink: of Ouat. Amm.: ppmr: of <br /> Received By/Title: / <br /> EH Specialist: G Phone: / <br /> Time in: Time Out: PaS of <br /> EHD 16-24 (211 pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />