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SAN JOAQUIN COU, <br /> �o. •coc <br /> ?� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • .. . ;P Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> gCjFORt� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: On Date: V-217_16 <br /> Address: 2 8 2$ 0 ,moKdw � V <br /> City: < 1_ �,�n Zip Code: 9 521 9 <br /> Owner/Operator: l_ L, 1 ' Wo '�U Telephone: Of rv, _t1 <br /> 15 <br /> Program Element: ` ,V1 Program Recor O G J 1 g34 2 Inspection Type: <br /> 6180 Posted Yes ❑ Rermit Posted - es ❑ I Re-Inspection on or After: 1 ' <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> � `1�1-�� � d.c:cy r a•1- 5�-Fi n �� r»-t �Ld .�,r� � h <br /> ` ,i I p{ o ,- Lo <br /> 0 od wuainA44r+a_ALR_ G La.55 r 3 Y Ct ,n a Ce r-h- -r-; C,&_4-e_1 I -e--a <br /> Y b CLn-� <br /> n n ✓ 30 <br /> 6C�_htroe--Q J-O W'-P,13 h rUt—0 u_+ TJ I v <br /> Gt-Ar O iwt (.•1 S vl n� �r So o <br /> Y- (_a-v►-,der ba <br /> o rnx- Vel ,L� OI r-� Gt rn a �►-�rl Artra� r C.L,� <br /> L� 1 L ricer b A n d s' C aU+ bo r flr poo--r b J <br /> ✓ y i 0 Wlt�-Nt -is W-e r <br /> C�rrYe-e�-c� •. <br /> ry) F i fl 1'R V'i'-7 CJ 6 TG EIt b LO I►--1 <br /> .: .. wiper <br /> s <br /> _ <br /> "(-e-i <br /> x &0m Y- P" e 5L47 - <br /> ri e d 5;1YI m to fx4om) 9 q <br /> F•rt d 14s- -.L Lilt <br /> Name: Hand Sink: ofChlorine: ppm Heat: of <br /> Exp. Date: Warewashing Sink: aF Quat.Amm.: ppm ther: of <br /> Received By/Title: <br /> EH Specialist: / Phone: r ' — <br /> Time in: i ;t© Time Out: Page of / <br /> EHD 16-24 (2^d pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />