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,o..? .�oG SAN JOAQUIN COU' <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sl4ov.orQ/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Y 1 a hU h Date: 1 i ;JZ j 14 <br /> Address: 2 � S �1 Y�f 6 s-� City: �.�-b-.n�� Zip Code: 015:7—o(0 <br /> Owner/Operator: Q r i 11u S r1�S Telephone: <br /> Program Element: Z� Program Record: btD 10 I ( Inspection Type: kzw.ti RZ <br /> SB180 Posted Yes No Permit Posted Yes n No Re-Inspection on or After: vvao(- <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> u'M21- t nrLr 1S "fl Stu9_eJl ra x +oo _1 <br /> S 11 icalS CIWA toad ',k 0S . ( o� <br /> 1Y(2d Ck " F-LA6W WARS n COS O-- vei111 <br /> ?-Qfri W MOOS tak 0'F_ ark S <br /> Were "1,96 e_qei-0a Ief o q'l- �-o(*k <br /> 3' k b G L1h �' X 21 X A ^�n `Ka5 -1W n to" \n10 <br /> t d t�: aF ns * C,\Af Ok r6OM <br /> - " v<Z bWo Sid; n 3 r(�> . osbxtoeA <br /> cwnk�cs t-W, zf s ao- l;n Wan *4tew \(Ounta ri 1 <br /> is <br /> d s wlAh V cm1 lwr 5 uWe <br /> WU M waw oA 6s , curfe ck 100a <br /> 11 .&�\ 1 .aS -,RF <br /> to Wf Ca F-M CU \n 30 S. <br /> tOus inS _ n oa vu\ \U � MUi f\VA�n G C C.t}- a 1 <br /> � )OA �S . <br /> IternlLocation Temperature Item/Location Temperature <br /> 2 C)Ir-qLV% i F <br /> d j&M1z cadl0'lr `� 1 c�r1 nrZ St <br /> ,2-(AX, 9ev-W? digTwAs .16 ee . <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Curlp� �a C I�a� Hand Sink: of Chlorine: 1 ppm Heat: of <br /> Exp.Date: �/wr 1/ I� arewashing Sink: i 2� °F Quat. Am m.: ppm Other: of <br /> Received By/Title: - <br /> EH Specialist: Phone: In <br /> r1, 'T,} yte <br /> Time in: 50 Time Out: 0:S� Page of <br /> EHD 16-24 (2k pg) 4/3/13 FOOD PROGRAM DIP CONTINUATION <br />