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oP41'" SAN JOAQUIN COUNT <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> .. ;P Telephone:(209) 468-3420 Fax: (209) 464-0138 Web:www.sidov.org/ehd <br /> 4C/FORe� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: / c # s Date: , Z 2 - <br /> Address: 3 // _ City: cz( zip Code: S 33 6 <br /> Owner/Operator: 1 C dem T Telephone:,? �?� _s s- <br /> Program Element: Program Record: 6 / // Inspection Type: <br /> SB180 Posted +'Yes E No Permit Posted X,Yes ❑ No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> )I-0 a-uL-p- L-ep_n Co r r6Lf ed <br /> 41 44 — <br /> wa k,Y, _�oa K Freezer's Flacr Le lo tO s l vt p,)t re Cly 9 &CLI Id - <br /> ga�se Floor a-eid dr sires we> I' e - <br /> 60r u&Id,'-rnea_� (9- ur AYMn d c(,-V/_hems Cz -7AKC tal <br /> aid Sa <br /> Item/LocationTemperature Item/Location. e ratuieteini,location :x Tem raYure <br /> Pe <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: 30" e' Z' a) �S Hand Sink: F Chlorine: ppm Heat: F <br /> Exp.Date: O a Warewashing Sink: 'F Quat.Amm.: ppm Other; eF <br /> Received By/Title: _ 6 <br /> EH Specialist: Phone: <br /> Time in: Time Out: Page of <br /> EHD 16-24 (2nd pg) 11/2/09 FOOD PROGRAM OF CONTINUATION <br />