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SAN JOAQUIN COUP, <br /> Z� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.si4ov.orp/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Q .•'�C4 Date: <br /> Address: � S Z City: � S Zip Code: <br /> Owner/Operator: 2c Telephone: <br /> Program Element: J�a Program Record: 101q n j Inspection Type: ou yL� <br /> 6180 Posted / Yes ❑ Permit Posted `, Yes ❑1 fo`1 Re-Inspection on or After: � / s <br /> OBSERVATIONS AND CORRECTIVE ACTIONS . <br /> r G 11Z c -7 l7 el CC-2 -i Z f w d <br /> lam! e`7_P G1 r7 Gl f - o c:( r Cl)4C� <br /> a cam' no <br /> /1 'h a pct cl c <br /> ' ., ` re cl rcd -k- <br /> Y'_ 3-Go z2,p <br /> h,=I 5 -6 - r /7�'dd% 56 . c5-e�- <br /> 0 ,0 '60cZ O r <br /> LM1hd)ar--etua,5kia,:z <br /> - <br /> W <br /> 5 a /nx- rei 0 5 n0 1 a 6e t ecl • Z",e <br /> art oo d waoo )' a f mu-cr► Go o.t L r'•z.� , <br /> p ha Leg'-LX d de qr--- d 1G <br /> temlLocation "'�'j '� , Temperature ' Item t Location + i Temperature <br /> ........ - _............. Q: ..... ................... <br /> �.-_.... ' <br /> QLDoY Coo r� r� k- o-zF Co®�/S a rt no t pct -eh �. <br /> JOF <br /> Fo11 od S 11 afety G 11 ertific11 atioti' ;{Narewashing <br /> Name:. Hand Sink: /a ofChlorine: U ppm Heat 7.e/-r i /'S.enz2e c�Li -Exp.Date: J aewashing Sink: , of Quat.Amm.: ppm Other. <br /> Received By/Title: ���( �� Y j„ <br /> EH Specialist: •/ r/ Phone: s rf p``-t,7' <br /> Time in: �0 • f�X Time Out: 1 ' 6 - - Page_:pf 2 <br /> EHD 16-24 (21 pg) 4,'3/13 1 FOOD PROGRAM OIR CONTINUATION <br />