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a°. <br /> SAN JOAQUIN COU, <br /> .... <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.si9ov.orq/ehd <br /> /FORCE <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 'Ro aI =rl Q P1 C'Lj f 5 ne— 4— '3q V1 z4 e+. Date: 3 -13-16 <br /> Address: -1 to 10 - d, 1e City: 6 <br /> +001i�I Zip Code: -1';� <br /> Owner/Operator. ( ✓L^ + C n h Telephone: 416_q 2.9 2- <br /> Program Element: -L ProgramRecord: RQ I O,8 9 Inspection Type: -12.0,-rh ^-A. <br /> 6180 Posted Yes ❑ Rermit Posted Yes ❑ I Re-Inspection on or After: <br /> a <br /> rv-e a GA v-e roa+ e J,t3 vi <br /> I a:f' -cam rn- C t,eo e7 4i-z_e 3 c¢,.-k- <br /> ---GyL5 S <br /> vvk t'Y oui— M-e— <br /> &W) Ty,.9- -2- 800 v, pn�.o &-s no + 6oL6 -e ki oi4ijj P, rKloL�,eEi <br /> o1A LAI x'Fy r W-I'r <br /> 6� 01V(--d of L,YX fi to no 4 -e. ✓t A-A <br /> c,*e_ri c oo r' n -5. z e,4-- 4o P✓-•e vl n4- <br /> K+Y-nnCA_ <br /> .0 011,40 ouA ` vt -t-ft Pi ham o s <br /> Qt_ -h <br /> C� t)npp 9(_-4-0 01� jj d4-e r- -ero>n ra -e r -.L4 <br /> _ -�U r►-� cu_r <br /> \ 00 r�► 1 aU-,> a" A-yo 1e- <br /> ,3 e <br /> a,a tore Item/Location Temperature <br /> C 11-7 <br /> Lj <br /> WO <br /> ' :.I arc .asking <br /> H <br /> Name: r Hand Sink: foo'F Chl ine: a ppm Heat: of <br /> Exp.Date: 1� arewashing Sink: 106)'F Qual.Amm.: ppm 11 Other: of <br /> Received By/Title: 9 <br /> EH Specialist: � 1� Phone: <br /> Time in: i 1 l Time Out: ,?�, Page of <br /> EHD 16-24 (21 pg) 413113 FOOD PROGRAM OR CONTINUATION <br />