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SAN JOAQUIN COUNTY <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 /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ��nh S t7fin-. Date: I ((0 <br /> Address: �Or},� ' City: 5�oov—izyl-j Zip Code: 610)7_1E7 0)7_1 <br /> Owner/Operator: G-,V�v voc C-> '"� /` Telephone: "1 1 <br /> Program Element: (P Uv Program Record: C GdCj 41x1 l!J r Z Inspection Type: cw U I n t <br /> Ff8_oposted ❑Yes ElRermit Posted ❑Yes ❑1Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> - - - Co M 1 q►Q t 5MRS - t 1 rQ. CM 1-12-9/110 GO- 11 :15 i�-M <br /> - ih�.re s Oi t;;mc*e c-m-•211 on rn-e Ominq cAreQ <br /> - INC) , SMay-e d0MqqR OT Ismenl ,n Tr\pl <br /> T-102 wo�S Cm did r 0- 0.�- e CA- -TYIZ <br /> - - 0Y- i 0 °.'e,-f Qt-{e <br /> Item/Location I Temperature I,j <br /> Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: t—arewashing <br /> and Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> H Specialist: Phone: /C)CI , 4ob— A�T/{ c <br /> ime in:1 : 12 Time Out: Z� Page of <br /> EHD 16-24 (2""pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />