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SAN .10AQUIN COUN <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.sjgov.org/ehd <br /> q��FOfRIN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: J!v>n rh ' Date: <br /> ddress: ZS-2S 5 �u c�n�`h S City: ! Zip Code: 95'2-910 <br /> Owner/Operator: T1 hn�'►'k -W•- <br /> Q��sl f �ci Telephone: 3 5-03 <br /> J <br /> Program Element: 1 Z Program Record: 5 .� Inspection Type:e <br /> ,2,1SU <br /> SB180 Posted ❑Yes ❑ No Permit Posted r Yes ❑ No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> !ReC_au ff4_Q_ r.l +('c e w - i t' <br /> C a <br /> ,/1 a (r-- - C/U o^ �ri�-2 r <br /> cz <br /> .1Q4- marred cco- r dkn e�o > re?�- ►c>,� <br /> r Qr S 0.n- uJ •Y • ZA Ar k-e <br /> L%K v� 16 21 ve <br /> Item/Location Temperature Item/Location Temperature Item/Location Temperature <br /> 31 � <br /> Food.Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: 3 1 of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: s- <br /> Time in: , Time Out: /0 , 3 S- Pagel of/ <br /> EHD 16-24(2n1 pg) 4/9112 FOOD PROGRAM OIR CONTINUATION <br /> 422 <br />