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SAN JOAQUIN COUNTY <br /> tNVIRONMENTAL HEALTH DEPAh i'MENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.slQov.orq/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �X'�C �y Date: <br /> Address: �V \ D� �„� City: Zip Code: 52�� <br /> Owner/Operator: IhG� U G Telephone: „ <br /> Program Element: , 2 4 Program Record: YJ 0 Inspection Type: k)A-b�.(2 <br /> V61-80—P-0 <br /> sted YeNo Permit Posted Yes <br /> ll No Re-Inspection on or After: Ca r I <br /> IKV A S c 1 r , <br /> Tom' iS G Of C kkk% un ,I d s <br /> C twin <br /> XV.IVLTq C df-e <amed on cwwis , siviv, 'n ck Sari <br /> n S u C,12Gn'rR C, uh <br /> utfa u vie atiovoc*r5u S -In i -ThC S, U e <br /> R NIo Wve- (Cccjcl-A-S c W 'kCM -WILC <br /> i rA . t wee fcC d w (o0 <br /> G t r w"I 1 c l CSt- Cc�n of <br /> Ord col t-� w V-� -I)Spectcb <br /> cm's i C, S1 Tea 6c*T) Oro <br /> cU SS e hG vJ a �5 <br /> Item/Location Temperature Item/Location Temperature <br /> dr r `�- <br /> w ww r <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: :iP D Hand Sink: 1�'(. ' of Chlorine: PP Heabo <br /> t: of <br /> Exp.Date: �C Warewashing Sink: ;.� of Ouat.Amm.: pp Other: of <br /> Received By/Title: <br /> EH Specialist: , Phone: <br /> Timein: lo., Cjcj Time Out: (I O PageLof <br /> =HD 16-24 (2nd pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />