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SAN JOAQUIN COUNTI <br /> X ENVIRONMENTAL HEALTH DEPARTMENT <br /> N: x :< <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 /> �fFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: E1 >LCAnGW ML�V"t Date: If24J/1 V) <br /> Address: , tq t I 0 CA USG City: A0C�kz,`N Zip Code: <br /> Owner/Operator: Cjusi-av Q�CA Iv Telephone: "1 <br /> Program Element: ' SO IG Program Record: Tploc, 11111q C63 Inspection Type: <br /> SB180 Posted ❑Yes ❑ Permit Posted 1 ❑Yes`' ❑1 Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> ALL <br /> (Gl i S t�, 'C�(; Gt 1 l.'1k�1/tC.� ill c� Y�11 L 1 i_ i 1 CA' <br /> bis cmfinu.� t�da Y U C1II"_CkC t,+ACt ,QCkCk <br /> (1 Gl-w i dw I C U CitVP Pif. <br /> it S w- n c3fi "CAW Q- GL GJZ CA a <br /> Wltem/Locatio. Temperature F Item l Location <br /> PaaiiitY Hot Water Temperature Warewashing <br /> Name: Hand Sink: -F 'Chlorine: PPM ',Heat -F <br /> Exp. g -oF PPm Other: °F <br /> Ex Date: arewashin Sink: Quat.Amm.: <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: Time Out: �1 Page-::V <br /> EHD 16-24 (2ntl pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />