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SAN .IOAQUIN COUP ' <br /> �o ,.......;.c <br /> t:• ` 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 /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: F c Date: <br /> Address: C'y55 Pain -c- City: 6+oc*--t-n Zip Code: (, 51(77 <br /> Owner/Operator: r f1_'IJ L', 25b =-,,=-,, G Telephone: '4-72_883Q <br /> Program Element: I IGZLj Program Record: PIR Inspection Type: P-0 4i <br /> [!i_80Posted "-Yes ❑ Permit Posted Yes ❑ I Re-Inspection on or After: <br /> OBSERVATIONS,AND CORRECTIVE ACTIONS <br /> -e r vt a f-5 u ocie r r ►tee 5'1 =IK . C Lo--a <br /> U-Si h 4ki c-e- -F-i c v- <br /> :l--K rn0 VA_ rye V-t n-I- Gres ccs n +'q'rxu rt <br /> WC444 Y o+ + -e n I zv°F <br /> rA ktr <br /> rxi MoD r 2 Gi�C.IC_ l -f - r o u-+ b <br /> r �boor r n--- r -e .c e <br /> o 3 Y r►-=e o'O F 5 LI lF F R <br /> . Temperat>r <br /> Goo(o•r�. fron Lf I,v Cqn Lexa., l 3'1r' <br /> r CBD r N5 o cdo a c 3 <br /> i ces 1 '40-14,04 tla+ ho t&e r (707, <br /> Y-V1 _ 150 P' aICP cl C'�1�-icl�P�' /tea r✓r�e.- 1�6 ' <br /> Food Safety Ce t$on �� Facility Hot Water Temperaturee� VllaYewashing <br /> NameR n G a/�C !Hand Sink: 1 O C of !Chlorine: ppm Neat: �F <br /> Exp.Date: �5—j are. shjng Sink: r of uat.Amm.: aO�ppm Other: F <br /> CPDD Yh b <br /> Received By/Title: <br /> EH Specialist: fn Phone: <br /> Time in: , ZO Time Out: Pageyf <br /> EHD 1624 (2w pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />