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SAN JOAOUIN 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 /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: f 1 t \ ".!1 d ozcl <br /> Date: , h7 I J <br /> Address: 5 G C) n 5 4, City: U, c Zip Code: <br /> / <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: C ul; <br /> SB180 Posted i Yes i No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> /I f fa n 4r�(c��a y' _ <br /> �JVO /1� PnS rp5 roe,-ri 1pu � ,11 � ,�� 1; ,�5 <br /> n rn F II r n r n <br /> rodt 16, b W. 0 L4 5 0 U i rc vq hcc <br /> IC )o h ; !r I? ame, C4 f e s <br /> Cc � <br /> CA } or brc <br /> IIG l e k' <br /> 7 (A tj CA 5 r c <br /> 1U) u S ma e OC (035; ble . <br /> v r c, ►fid rG doled 67 bC <br /> roo d y - lo , e, t -G,odS }Gr e raw moa J be lew ,✓ec�r -Ic <br /> U I ds n CG vPr -I,r; We. <br /> Xa loo f U n n . r, y a { / ; ,1 40. G -t or r a-- <br /> (J r . ("affrtj Jcdc, P ec J <br /> 11 Eu if) ld G 4 A Q 4(-r 14 b fC <br /> 6r 40dy I V i C, 10 I;c n <br /> Item/Location Temperature Item!Location Temperature <br /> --- -- <br /> ..... — — <br /> TUrb <br /> 60C, jtll I' - C4;r - C,C Tl <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: /� { o n ; Loa 1' Z Hand Sink: JUS o f Chlorine: Ppm Heat: 'F <br /> Exp.Date: r , ) L Warewashing Sink: of Quat.Amm.: PPM Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: (�. U U Time Out: Page of <br /> L <br /> EHD 16-24 (2nd pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />