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SAN JOAQUIN COUt . <br /> w. ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • c°��Foaa;P Telephone:(209)468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> VI r Gi <br /> Address: ^�9 City: i r Zip Code: q S 7,6 <br /> Owner/Operator: cI I ' 01 G r Telephone: <br /> Program Element: f G , Program Record: C G 6 &' ,3 <br /> , 1 Inspection Type:C,r / <br /> 1 � <br /> SB180 Posted i Yes ! No Permit Posted Yes ! No Re-Inspection on or After: <br /> . <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 21 : <br /> CG 1u n � 1 6' l Win_ L/ - 16 - J. I ✓� <br /> Old rVj C4 Consumed a IC4 OYI; � n <br /> G Y O 06 r Y» 7 <br /> V f►► 1: ^ r( C4 ch rk4l) <br /> S .4 V : - 0 Po ralvr W Us ol .G r✓► lc+ , e7 <br /> M0 till se fro jer/ lc /c <br /> L4nle h • rr, dV _ u . �� � `ergs <br /> G o � G ot) uc L CO 'S C1n � 0 /16 G hea � <br /> u a a /,, le L64 <br /> CA P, 61S I -,oM Gr + SU h nW <br /> �cf >� ►5 6 b,5 evCl I Q <br /> harsh a rc �o 1h - <br /> r Pe S6 ,n . � Lcr r c, ar C4 Y) 61lc' <br /> r0 / ► rq 11, / !Gc <br /> 1 r 4 iv C 0.0 Iu 1 ^ Jv12o 41 a A d Oil <br /> S h P I r- dQ n <br /> ) v rrvn n borYi erc, 1pire o S <br /> 5 •J , Zer - DOggM 'a <br /> � , <br /> kindc1l ti-C10.1 ) Wo )y - n y e 4r a ryl-J /e <br /> 4 1 1 " -1 —r- <br /> 1 Big <br /> ` <br /> Name: Hand Sink: loo o of Chlorine: ppm Heat: of <br /> Exp.Date: arew hing Sink: I l�L of Ouat.Amm.: ppm ther: of <br /> Received By/Title: <br /> EH Specialist: Phone: / ot/ <br /> Time in: Time Out: U Page of L <br /> EHD 16-24 (2°pg) 4/9/12 FOOD PROGRAM OIR CONTINUATION <br />