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SAN JOAQUIN COUP <br /> r. y 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 /> �iEOa" <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> ame of Facility: gAst -� Date: — <br /> ddress: .S I rr I N City: Zip Code: <br /> wner/Operator: 1n L.G� Telephone: <br /> Program Element: 1 (. 32 Program Record: n L Z 0 8 Inspection Type: <br /> B180 Posted K_Yes No Permit Posted p(Yes /\ No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> -n - toiri / nS/ WAJ ICIN1 Cit aAcl <br /> 6a d yr g I so 1�h <br /> z� bo <br /> V-21t <br /> S serve - I1 ; !ss}m — c2 ; !6- <br /> R M2 — b 30 F SML t <br /> T nn -n e 6 K w <br /> S44 jn - C for _ k-A <br /> '_- iterrdlocetion' -c" Temperatu' -Item./Loeatian f- „ re ' Item/Location Temperature. <br /> d Lfo r 0 I= <br /> R � <br /> _ � I <br /> Food Sa}ety:Bert ca;_... a =FaciutylHotwat_e_r Tempe ` b'4 /,/) (,(. arewashing. <br /> Name: I Tln�O Hand Sink: oZ� of I ppm Heat: F~ <br /> - 1-- <br /> it <br /> Exp.Date: y 1 3 W ew hing Sink: eF Ouat.Am .. ppm"Pop ther: `F <br /> Received By/ tie: <br /> L <br /> EH Specialist: Phone: <br /> ime in: a Time Out: F : .SSP Page of <br /> EHD 16-24 (214 pq) 419112 FOOD PROGRAM 017CONTINUATION <br />