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R <br /> SAN JOAQUIN COI "Y <br /> ' Z< ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �... a Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.orq/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Q", Date: f0 - q�9 <br /> Address: 3 0 City: S�� ftoZip Code: 952Owner/Operator: Telephone: 715?_72 resr, <br /> Program Element: /� q Program Record: P� 5 �07 Inspection Type: /fit f <br /> S1318o Posted ' (Yes[ No Permit Posted')Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> t n 5► --IC U0s e -gyp 3-co rrt p s i vK �� not - s s b i e - t'+L C <br /> - <br /> Si—lc-s k 0_J. 6c -F.t l ac U SS 1 b I e _ a {' _ at.�,C 4i n%-.0-5 <br /> CLu, r . Co -fi r ►-rLo v ss i Y-e <br /> kt& AnYah rs ,D-e_f rL i L <br /> h a basls - <br /> � n <br /> r (� W f,j {-C?-e Y )4 o cl <br /> r fo <br /> Lj 122,11,5 o Y, &P" <br /> a.0- <br /> Gne,rc Lt&,e 4-i <br /> "aTi-f j2a a►w ov 6erc,, ) d-o den <br /> yro,r,' <br /> Item/Location Temperature Item!Location nem Temperatu <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: o f C a n v O ppm Heat: <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> ime in: Time Out: A0 .25J d Page c <br /> EHD 16-24 (2" pg) 4/3/13 <br /> FOOD PROGRAM OIR CONTI <br />