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SAN JOAQUIN COUN <br /> p .. <br /> Q` ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sagov.org/ehd <br /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: s 11-i N <br /> Address: 1210 i_r I I 1� City: Zip Code: <br /> �ry S�t'. ZipCIs37 6 <br /> Owner/Operator: din r w WaAa eA4 A; t_p Telephone: <br /> Program Element: I! !of-5Program Record: 16L50( - Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 8il r Kt+ 1 6AAJ S 1' W61ocAiAjk by hge4q. %vG e4 VIaQrl, <br /> 01- ood 04 tie loos F1e�t1-� a 11 -Fo I'ncl� �1-heti floor, ��r <br /> Skirl` 'n b ) qn raw chi` n r fOdM -�" / Jl f'7 v <br /> J1ftI`Ml 01) 11 + 410P of helAj pr&r tv e- 'w rscar mal. <br /> 1Ni r^ C(04-115 on Prep `VM <br /> �- <br /> �ot'rec� <br /> fersona1 qvpdbove, pr area lacks NA. Frnvl'o�e a 1('a1 �erru co-p- <br /> C. -�i 1 Int lo >7 ri%A w i'+k l) eco <br /> v Sana l l t 4-,qp`A o I I. a <br /> ooet vn 4-kr h Prod h S r 11 <br /> Repea4 v'IDI ►on- <br /> 0"ef)s;Is 9:tmed iA lv aarm. Wa-kr" S V"-5i' I' he (G.Mor ore) <br /> ar ` In f <br /> err► IN rv ormA nm+c(#jjzZ Pr ✓r A d I' 6 czar erj-�-cacl� <br /> r0 .1- oclJ IK_if r' !t raw <br /> $'A WQe?W_aSk s1kX G'A)q fhawOA) s4k 41nd ha►• <br /> Con ►' l ►'In 1 b + <br /> ► <br /> POIin l �reC <br /> mold M . Clean +14Uq. <br /> Item/Location Temperature Item/Location Temperature <br /> -- --- --..__..... -.... .._._..------- -- - ...._._ _ .....-- -- -- - - <br /> Shrl n 'n 715 f7,7'_i ,in 3°r <br /> Kaw Ch►`c K SaF 1nla.t K-in <br /> 1453r <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> -- —..._... _ <br /> ......_..._ - -- <br /> Name: An ,r iNt Nit Hand Sink: 1 'F Chlorine•• . '6 ppm Heat: 'F <br /> Exp.Date: ,r 7 arewashing Sink: s1� i' of Quat.Amm.: Ppm Other: of <br /> ljf7liz. AlReceived By/Title: <br /> EH Specialist: _ Phone: ,� 6 <br /> Time in: 1�+ f4 Time Out: Pagf <br /> EHD 16-24 (20°pg) 4/37/130 FOOD PROGRAM OIR CONTINUATION <br />