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SAN JOAQUIN COU. .' <br /> Z� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.slgov.org/ehd <br /> L;i=pRia <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility:7 17YT / ��,� Date: <br /> Address: -70-2- <br /> 70 QY r I City: . V n Zip Code: <br /> Owner/Operator: a 4 a r1X-4- UIA <br /> �Y Telephone: 9 15 1 —,3?9? <br /> Program Element: Program Record: P R-o l 2 Inspection Type: / _ <br /> S6180 Posted ^es ❑ Rermit Posted Yes ❑I Re-Inspection on or After: �� ^ <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> z <br /> L"'n5 eg_-k 16Yi +n Y cA �1G► vl a t L a <br /> �tGL� I�2. 01►'�Gj I GLCJIGQ_ d, S O0. <br /> o►YI d Was h,i t-Loq, rf e &+ - o '-i- <br /> » S C)6 <br /> ttilL ce SS I-� <br /> i. ra' n s n ko+ ca c.A4e r <br /> rir)e-+ -1-c r <br /> 70 �c. amu-, hzt-s + L:c y- <br /> 8 Gnd ISA» lc i--�s a- t ca..rcl Ag <br /> U-a-Q►'t j -1- o r,c.�. o <br /> r•rtA Une s 641 'rons) Lkx Cayck oar b r)�c . 540re. <br /> (.vi5 i d v- Jctxa no-F,;,Cve, 6.�,n <br /> 49; ,�Ct r Vj 4%h_A�n SIC --o r--f_ re c'h.+ c.K e r) <br /> t°rt ol-a CC.e a <br /> 5 +0S coo d I�rO IRA- HOPI <br /> _. <br /> Le_ — Q r� <br /> WZ <br /> Item/Location Temperature s �_ ­". Item/l.ocatio .''' '� "f ge' Temperature <br /> J f . <br /> t - <br /> Warewashing <br /> Name: Hand Sink: OF Chlorine: ppm Heat: 'F <br /> Exp. Date: arewashing Sink: �F uat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: 1 + Time Out: G Page of <br /> EHD 16-24(2^"pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />