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SAN JOAQUIN COUKO <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 /> �tFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: (Am N ,I- c_{-LI nC j Date: 1 If 6 <br /> Address: I C� G 11 City. n Zip Code: G� G� <br /> Owner/Operator: t� n ,p C-kv"(A V-, -; Telephone- <br /> Program Element: 1tv�v �i f` Program Record: G�l� �I( ' Inspection Type: W'11^) <br /> SB180 Posted ❑Yes ❑ Permit Posted ❑Yes I I Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS . <br /> X61 10'0 0e(' I C-rte T-c_�G 2 i_ C T n C O S G nd <br /> .F00i- 9,12(um-2 ,1\ w1-tk) ,11 <br /> Cc�ntln�S� <br /> 0 (,&Verj L M i pf, w 1 _e r-10 S Up CA wI 7'lnq CwTh Aha. - WaS <br /> S`�c� or) � C c�r� <br /> �nClha _qe <br /> C"-Trndo - S Clrz Skre_b in lb'i2_ <br /> unfit <br /> \ry -fi U/v e-1 <br /> \lo-4 e, norzn (_;cA yr Wayel ke~v <br /> amu+0�& c)f cwt In n,\z Card 'Che <br /> CV; nCA- vwCA- On C� -mb 10! <br /> Do 'n0.�- v. k e OnC S G-n w i w\ C`O1 A5' W\\NOS yekM •fir <br /> �I(4 �anl"� huCiw+ 'ISG Ic'u -m Lhl erne- ft#,C y <br /> stzne CO lmci$4 C U-1105 �n ��hl hoc �- when <br /> n <br /> UV_ .n \ASS <br /> u car oc+ <br /> Name: Hand Sink: I CU of Chlorine: ppm Heat: of <br /> Exp.Date: arewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: - --� <br /> EH Specialist: Phone: (�A o <br /> Time in: I:d r, Time Out: `I1�\ v Paget of <br /> EHD 16-24 (21'pg) 4/3/13 lJ FOOD PROGRAM OIR CONTINUATION <br />