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SAN JOAQUIN COUP—' <br /> 2� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �q..., a;P• Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.slgov.org/ehd <br /> CI FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: `.�� PI`S G aS and Li V Date: <br /> Address: 1,10o �,,,n�.,,�.� S t City: s-� .�n Zip Code; ('t 7-I� <br /> Owner/Operator: $G �'t l _l Q E f4WCAi Telephone: Cjl�(p— G <br /> Program Element: I M I5 Program Record: 1z IJ 1(0ZZ(� Inspection Type: t2r�x.16�ia _1 ' <br /> SB180 Posted es No Permit Posted es - No Re-Inspection on or After: f�'�"r� <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> I <br /> Mas."c, s ord � h �f � r2q ave the, <br /> 1-,W c;. Q _ 1a � �+ Nu6Rtnd <br /> dWVZCA POCW nt i c ah i ats yncbv �� <br /> J n -thy tU a W1L\ r1 12; - (CntP-01 <br /> . "U2 Hca, bU►lr✓1 arra d �t1tCe ))c,,e_ <br /> -b <br /> ANN 1 vus i n We0on t- fio{- m sitz - tAar n 141 n a CoN u+- <br /> Item/Location Temperature Item/Location Temperature <br /> _ fiw\/tt, t SM cbA U&CS Lr <br /> 13-ger w oo v- in (c.r,) _ (-A- <br /> - _ ........... <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> _.. --- -_._._... . - ---- <br /> Name: Hand Sink: k 00 'F Chlorine: ppm Heat: 'F <br /> Exp.Date: \ Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Tit <br /> EH Specialist: Phone: h - <br /> Time in: �D Time Out: ,�; Page f <br /> EHD 16-24 (2n°pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />