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Q"'" SAN JOAQUIN COUN' <br /> Y. <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • .. ;P• Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sagov.org/ehd <br /> 4Cjk�Ra <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: <br /> t;190 . S i of:s Date: W 4 <br /> Address: a UO - 1 vorudo City: j�n Zip Code: q P_x2u(0 <br /> Owner/Operator: Unk M _ Qlrl(f Telephone: 43-1-2-41- <br /> Program Element: , 1� Program Record: 1�0 U k sj ( Z 4, Inspection Type: <br /> S131 80 Posted Yes ,No Permit Posted ❑Yes VNo Re-Inspection on or After: ::A <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 0 skwPUS-'IF t7ALA10 W2 o cin -pans rns-c;iQ v�at� ; - <br /> � <br /> N U (A -tZWeA S Uk \3006NNUSh WAtW~ ) . VF w i (1kk iD <br /> c ufre"nfi k)QaVt'h t\ot ak - 11 MT\e�-,. <br /> 1 uL i 'ice rVt'b 1ne_ s .' <br /> vf PA1LuS \nS tJriUTA " Cao- o Sqe. Muin+a'\n G Co <br /> Item/Location. Temperature Item/Location Temperature <br /> Z j(.V, <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> _- _-- <br /> .... -- <br /> Name: Hand Sink: !cc �F Chlorine: ppm Heat: , F <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received itl <br /> EH S tali Phone: 9-00'll - 4166-344b b6_34�t b <br /> '2_0qim in: . 0 Time Out: - "r Page'2-of-Z <br /> EH 1 K24 (2"d pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />