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oPa"I" •� SAN JOAQUIN COUN <br /> �. �� •.oma <br /> y� ENVIRONMENTAL HEALTH DEPARTMENT <br /> X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> Ll i=ORa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: C r-.�+G CS Date: <br /> Address: r ` ''�� L. City: %a Zip Code: 9s > <br /> � Sd W ( �, . ,r <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> ( ;rl <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIt}NS,AND CORRECTIVE ACTIONS <br /> AKer,l Sani�iGer - L 2oaJ'gN► goCfi <br /> I ____t2Etrll_[1...i... bucWe4 )ySS 1,C'1,3 2 u <br /> ao�Ape3O 4a4_. <br /> rosS hgs libel j -e I no or`� / a he 40A, <br /> W? r al i� <br /> A 1 Iron rcr n e r Iwo#4V7 a <br /> two Ile rr.trr 1 <br /> CA; iii;;9 .0a r. eeMe v <br /> o. oA .� 0d •srC4 <br /> 5 S�v G asd <br /> 1 U / Ca i e # h S u W n 01 <br /> C 1 6or 1` >�oda L17 <br /> Sani liter ' 20 .6.-../Q <br /> ST W 2 <br /> W e r h'7's" V)A C1 . h 1 n 4e r a 3 <br /> G /1 t�uWa4r 01 /00'r- Ylon Shia _ Ceirne4e41. <br /> S K o r 0r0k VA 40 <br /> 4hrCk4 1ACiA I 1 <br /> SOC(4 re- IU Wo 5 ea G 1l p d <br /> re V -a be h n d CC,rre .L n 2 Ld Oe Ie <br /> Gt L 1 _ <br /> / d Gn 1� l r, Gcr (. icel 010- <br /> Item/Locationon A,Temperature : ocatior5 =�:-- <br /> )1!'f G 40 ljAlelr• 1.Ja Ili' 3e1 f'/ <br /> -- <br /> Meet WC-1 lie — _ 3 ij< 10f )1 , <br /> GG11-r Lio /a <br /> leen 0 46 ' <br /> Food Safety Certification Facility Hot wafer Temperature ! warewashingr s.� -v <br /> ----------------------- -- _-� _-._ _v.__. _ __ <br /> Name: — Hand Sink: Chlorine: m Heat: `F <br /> To � t'l/1�1c, • f �F PP 3•t�. �/1 �?ut <br /> Exp.Date: arewashing Sink: �I of Ouat.Amm.: ppm Other: aF <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: I U Time Out: ..o Page of <br /> EHD 16-24 (2n0 pg)4013 FOOD PROGRAM OR CONTINUATION <br />