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oSAN JOAQUIN COUN) T <br />16t_t <br />Q` Z� ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />• c... �P • Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br />4Ci g6 4 <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: r r . erl r� j ) u <br />Date: <br />17� . U y <br />/ <br />Address: ; (� 5 I y� U f Q d d <br />IJ <br />City. S+ K� Zip Code: <br />S 2 G <br />Owner/Operator: <br />Telephone: <br />C� y J G y s <br />Program Element: Program Record: <br />Inspection Type: <br />ua <br />SB180 Posted XYes No Permit Posted 'Yes No <br />Re -Inspection on or After: <br />{ l OBSERVATIONS AND CORRECTIVE ACTIONS��'a <br />a'. r� Pee) 40%7 1) o v% h6 0 d p Co V: n y i Y� S i-orv. <br />ire q �lalrs ;,, Wqr A% cira rav�l/e <br />q SMoci►t Cle #%ei I - C W r fCk 1 S al All hC,k-3 ofee oi <br />i <br />wee X <br />a Pr �o .S Ny'X, 7✓% ;n�- :h or below /V <br />n l rtgri a oy r4er Ava; la 6/e. w: n.404 <br />6A I) o ;, ..4 der 4Gq s v d'Or 90 day r <br />rna�. V',n�r\ roar✓1 CX+Cnslor% Car+'1 /e lee/ —Ste 00S /29/-y <br />N d V . a101 f, ons. _ <br />/ <br />V ` ✓I -- �I T� �'0'�`J tIC I J FIr TO • I <br />! � N <br />Food Safety Certification Facility Hot Water Temperature i hor Warewashing <br />Name: T 5lro Hand Sink: UU oF Chlorine: PP m Heat: �F <br />l SpgC �o+�SO <br />Exp. Date: _ �� / 3 arewashing Sink: �U of 4uat. Amm... ppm Other: 'F <br />Received By / Title: <br />EH Specialist: Phone: �& Y ' 3 /1"P <br />Time in: Time Out: 0S Page,,of <br />EHD 16-23 (2n1 pg) 11106/06 FOOD OR CONTINUATION <br />