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RQWN SAN JOAQUIN COUP. Y <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c.., iP• Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> 9�iFORa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: r -Q n_S Date: 't-3–1 Jr. <br /> Address: `,Jr r C�j'n a City: _L..,�� 2 <br /> Zip Code: 0 <br /> Owner/Operator: S q 7v Telephone: Q y/ .a yb el <br /> Program Element: /to/ly Program Record: /� D / Inspection Type: R4IS <br /> 6180 Posted Yes ❑ Rermit Posted r -,Y*-Yes ❑ 1 Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> i V-e ►' c ✓rrLc4-(_.A - - QJ rrz-O <br /> 6rt4 <br /> CQr - ) <br /> w C% <br /> w fy-.-t 2e -El oo rs <br /> i ki czo-b rn.e-r o0 <br /> At <br /> aP i <br /> �K mak' G>Lc: r <br /> U a <br /> Item/Location Temperature -< Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature ll Warewashing <br /> Name: H nd Si k: Q- lOo F iChlonne: ppm Heat: F <br /> — - -- - <br /> Exp.Date: }Sink: of IQuat.Amm.: ppm they: `F <br /> Received By/Title: <br /> EH Specialist: Aj / Phone: <br /> Time in: `O.y� Time Out: Pages of ez <br /> EHD 7624 (2ntl pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />