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P°.."�" SAN JOAOUIN COU <br /> 2� 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: C 1 en " be C&( Date: 7-/_ <br /> Address: 1 33 Y 1 L � City: L U l h d` Zip Code: '?J' <br /> Owner/Operator: 'J) A j/. /_"'? Telephone: <br /> Telephone: 6�2 y- 2 <br /> Program Element: 1`4i D rJ Program Record: S' » 00 52,6- Inspection Type: <br /> S6180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> a <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 2Prri a• s h i r\ i Ad oA ys; dcO a 11C-;A <br /> r oh <br /> 3 Tkc.Aj S rior t i ti I <br /> favi de- Lo f G � lei r i tr40 ^al. <br /> 5 PA0v de S eFWacr\ 3- c ry <br /> �nn <br /> f• t,r G � /1 <br /> Crk <br /> Tures G.\ r k Of ex 11o a <br /> ihG <br /> Ce.1i P ct A j 15 anOf #1340 11 G10 <br /> CleAAcabIC' LA VtoN P SC' a des e^ser JC b, r � <br /> plio IC) a 1. <br /> roJ (A �POGGf G er Ce r 4; � n r <br /> C•c� I I cr- --Aci <br /> Item/Location Temperature Item I Location Temperature <br /> Foocf Safety Certification Facility Hot Water Temperature arewast�n <br /> Name: Hand Sink: of Chlorine: PPM Heat: of <br /> Exp.Date: Warewashing Sink: of Ouat. Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: _ Phone: <br /> LIZ <br /> L� <br /> Time in: Time Out: Page of <br /> EHD 16-24 (2^d pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />