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°"�" SAN JOAQUIN COU <br /> V! C <br /> N: ;A X <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> ��FORa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: C1 Y.e ss Date: 3._5—j6 <br /> Address: a c-i City: 5.0C4C_t-0kj Zip Code: c5 Z0 <br /> 7 <br /> Owner/Operator: o,YVI.U-e— I P)', Telephone: 44-73-6� <br /> Program Element: 1 Program Record: 0 a y 2 Inspection Type: /� _ i <br /> 13180 Posted ` Yes i7 Permit Posted �W_Yes ❑ I Re-Inspection on or After: �c t <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> C La_ 5 .,e n o rcpt. -e rig6u I - <br /> 1�t M f 10 h Y 5 C h t t,+Z L F.k D <br /> a r 63 »0 Cab-4L-_,,4 - LOL b-ems b <br /> 6+1•_.e ry 10 C a44E ami uJ,/t-+ tie .1 -r -1.5 <br /> Orn"e ck4&Icm <br /> 1/2AA (as <br /> Name: Hand Sink: of Chlorine: a00 ppm Heat: of <br /> Exp.Date: arewashing Sink: of uat.Amm.: pd <br /> ther: of <br /> Received By/Title: <br /> EH Specialist: "—Wla� !�JC r� ��T /_ 1 Phone: 63 5­3 <br /> _�2 I <br /> Time in: �, �, // Ic��'1 Time Out: Page of <br /> EHD 16-24(2n1 pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />