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SAN JOAQUIN COUN' <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.s*gov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: S a r*fl ,.f- Date: a r _ �3 <br /> Address: 7 Gid 6 vA� . 1 p 0. <br /> o r J �S.4- . City: df� n Zip Code: 9 S-2-e>77 <br /> Owner/Operator: /aN P('0'-K Telephone: <br /> Program Element: r r� Program Record: d 1�02— Inspection Type: <br /> SB180 Posted Yes -1 No Permit Posted -/Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> C eC, <br /> T .�; i v►1a)%<Q r- - -fo ;-� a ca►r d car <br /> w o no - 1 ea >Orft_ <br /> n <br /> 7' he, 44 k <br /> C4 big e 1h Of 2- <br /> d4 <br /> h k_ �'s d, " Cfea,,% lv /2 1a <br /> Q.` r �.�-e o -t- .eQ�•Q�G�. 6c� s• <br /> h d <br /> LO5 Ct#'CL <br /> O Kr <br /> ,/L., 4�_ y-Ca CL jr W-e,- <br /> Item/Location Temperature Rem/Location Temperature <br /> — ---- <br /> urr-rPoor <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Si k: U . of Chlorine: ppm Heat: of <br /> Exp.Date: —7 W ashing Sink: ` -- of Quat.Amm.: ppm Other: of <br /> `2 1 - <br /> Received By/Title: <br /> EH Specialist: Phone: E4 GO- 3U L! <br /> Time in: 1 2 Time Out: ' PageZo <br /> EHD 16-24 (21,1 pg) 4/3/13 `J FOOD PROGRAM OIR CONTINUATION <br />