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SAN JOAQUIN COUN. <br /> za ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax.(209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: G�_�1 r 3101 Date: 1.2- 16 , q <br /> Address: City: Zip Coe: <br /> 3 � S G r�� i C. �e d <br /> ►�r� S,"s /b <br /> Owner/Operator: RA <br /> o c f 4cr T11 Telephone: $ b - 1590 ' <br /> Program Element: (_ 's Program Record: `. 3 /2 Inspection Type: c <br /> vv�� nsp cc -� <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS,AND CORRECTIVEACTIONS <br /> (J �G � i 04 5CC,r#-CC Y-600 -- <br /> _ e n Se r h a.5 h c.:�u-u —._...-----------•---- <br /> Clean -- <br /> n -- <br /> C n 1C s ln �►_r�_3..._� u n ccs F PS 4.-^; <br /> Ab&6, hu : Ii 4; IPS sew 1e01/ b C 11PA. nC 0 Tare W: Ih <br /> IIGY�• ra 11S .rV16At Cr: I;nr j , ID'S Ir-, Week , __.. <br /> Item/Location Temperature Item 1 Location Temperature <br /> i <br /> i <br /> Faod,Sa#ety,Gert�f¢c;tion ' Facility Ho#Water.Tem rate 1Narewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: arewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Le <br /> Ph e: <br /> Time in: iI Time Out: 7 Page ofd <br /> EHD 16-24 (2n°pg) 4/113 1 T- FOOD PROGRAM OIR CONTINUATION <br />