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SAN JOAQUIN COU t( <br /> X 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 /> �iFdRa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ,+H Date: <br /> Address: GLA-db City: 64c.K—lo vi Zip Code: -;k-0 <br /> Owner/Operator: o\_ nY-6� O� i Telephone: Lf(w-1_Lt.i <br /> Program Element: IW2_3 Program Record: Pio 50531 Q Inspection Type: ^Z�j-fi n� <br /> 8 Posted 11 Yes Rermit Posted Yes [II _I Re-Inspection on or After: ��-P_W� <br /> �o <br /> Y ip Y 0vv--;. o a + O r k �kR r 40-0 rY,--G <br /> rr ,GroV-yrs q ,� VA.p-ts DCcj <br /> Hca r c�a - <br /> i© Y oa-e-z.e- >' a V-►-d Cao(o r5 OLY--e- no-k- CA-9-0 <br /> n b CA rk:#i-z. - <br /> �L vj erL3 �-i-Ve r UL 1-* ►--, n c->+ t.LS i +or`-2 <br /> r Oo avo Le Y- r rr-a rrie_4r_✓ - Pm v, ae- <br /> C.e -(r�s+I-a Lk <br /> aun i,.n dr p, 5 4vr a. '100r S t.e Warn o-� <br /> cu'A viz-OPc <br /> 05 i J :�. a r-C ct a rl <br /> Sh)riic, i n a A i o r-e_ L,�i rvv h <br /> 6-!," . <br /> i v (AA n. u r- a 1-l.+-hl r D-t-t*� l Le=an �!o�r,5 <br /> _ h r w- V,.f h z I y-C-5 I, t c 4- <br /> �k2 V30 iL <br /> i C"+o rner <br /> v e n dl-e r Y d� e-r, �(-L 3W-e-d- - . <br /> 'T 1 <br /> ` dr 9 1 Temperature <br /> PA hs l'57 a Y <br /> rven.S I�q� <br /> .;2, d-oo y- i vue, -- --- <br /> .. W iE�`emperature Warewashing <br /> �...tW.,�r.::.`_______.._.�.. ..__..o. ._...gid �._..�,....._ .. __- <br /> Name: Aron rTi J ar an in of lorine: o ppm Heat of <br /> Exp.Date: n ar ashing Sink: / of Quat. mm.: ppm Other: of <br /> Received By/ `7 <br /> EH Spe iaAA al' - Phone: Cf <br /> -� <br /> Time in: Time Out: Page. of <br /> EHD 16-24 (2n1 pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />