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SAN JOAQUIN COUI <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.segov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �► 657 00 I,"-Lg_ re 5 Date: <br /> Address: �C>$ QG ,� Cit e i _ ��n Zip Code: � Z52 <br /> 07 <br /> Owner/Operator: 5 rnu� i nl V�� Telephone: (1778-02-5? <br /> Program Element: i(P141 Program Record: n P-0 (40 2-40 y 2 Inspection Type: —V_0 <br /> I`� v`0-H?'-k6180 Posted >C Yes ❑ Rermit Posted 1' Yes [II Re-Inspection on or After: <br /> tv <br /> 6u(f ! <br /> op 40-D r �, r <br /> rs-7-.0"-.P-4e u-cx,'Loi. 60 tiro v-'aC` et f-- er0,6qG <br /> ttl_ ivy o h 611 Cm_1a.4 ?ren. U-7 Cie r^ <br /> o n o&.e 3 u 1-7 do�- •` tJ (..a_ <br /> " 14CLek5;f <br /> o, 4 re e'ee _ Scuv 4 -1'l1 <br /> woe's <br /> 50 no le s I -e, re s sz A"-i <CJcc.., <br /> O-f- c hsicj�r 2 r hu Se <br /> Ie4n c-4 65 i e s a U,9,1 v-e,, et,4 Guo 4� .440_4-'ipv-e— La-4s <br /> kt <br /> �- <br /> i rrta �s uta 5 Lc`�c- 4iS -b� <br /> 4d-c�tr7 G�-, o yrzoor Ly� r �� e-10 door <br /> o�mac. •w•e�lc.- <br /> t.2 c�q:S clt _ W&-44C4-7 GD O Le P- 4c74- ac C-ct,t xz4e <br /> Temperature Item J Location Temperature <br /> 4- Som r --- - ! 6 <br /> NEW <br /> Temperature <br /> string <br /> - 3y <br /> Name: Hand Sink: �7_ of C 4&X-1161-1-00 ppm Heat. of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm ther: of <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: 10-66 Time Out: A160 Page <br /> EHD 16-24 (2n°pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />