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SAN JOAQUIN COUN <br /> 7r� •.pG <br /> z � ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �4..... ...�;;P Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> L/fOR <br /> FOOD PROGRAM OFFICIAL. INSPECTION REPORT <br /> Name of Facility: 0,0c t V N Date: <br /> Address: 14 c51- <br /> Zip Code: t <br /> c51- E • l -S�T�n OI�2C, <br /> Owner/Operator: E!aLo C6ndeSikq Telephone: <br /> Program Element: 2y Program Record: ' 41E!� Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No) Re-Inspection on or After: t \A;ee <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> . gin , <br /> Uj2- S c o" slur - �nvinq 1 Qt. e, i nskc <br /> A�or)CARC r a <br /> c-41ad Wersi L are in u -Im - s <br /> in 1L9- wCAarrAble < unlzA-lw-f \vilh <br /> --\o WCAA4aR <br /> U2) 03�N—16ce &0Nt?Jqf 00 "Tn CWOI�z <br /> rr� r s s Mo pct ns�c.�s�- r sc n a --..__.. _ N <br /> �� NO chi V*jGr-ems` G <br /> -Q4vC� <br /> } r - <br /> t--;Or- <br /> ave Co- C<-- . )u'-;t> fia 41c-lr �t,w <br /> Item/Location i Temperature Item/location ; Temperature <br /> FL►tD_n 1 acuity Hot Water Zem 3erature -� — — w�rewashing <br /> Name: Hand Sink: M " °F Chlorine: ppm Heat: `F <br /> Exp.Date: Warewashing Sink: -70 F Quat. Amm.: ppm then. -F <br /> Received By/Ti <br /> f <br /> EH Specialist: Phone: <br /> Time in: Time Out: Pa of <br /> EHD 16-24 (2nd pg)413113 FOOD PROGRAM OIR CONTINUATION <br />