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PQu�N SAN JOAQUIN COL Y <br /> •.OG <br /> 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 /> �fFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: TUC)S "CAV l s« Scxfz_�I ro Date: IDA <br /> Address: ;L(' 0 t. �oj?A,rq City: S� '�� Zip Code: CA2 U <br /> Owner/Operator: ?2"'%1-0 oy r el'Q (oS Telephone: 42 <br /> 3_ 2 <br /> Program Element: 'WO3 Program Record: SP W ���I Inspection Type: CQIM�Akt(A <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> �Ruv; c„ t-cX� jAoq xA is <br /> ON) vd nd) co\vO i� z^.Acep w jV%i-) <br /> ?;o dU\j s o h\ve . <br /> - <br /> YCtsv <br /> v;dleQ -f,CS Ulv, it <br /> A-e5 <br /> Item/Location f Temperature-7��_ Item!Location — Temperature <br /> I <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: F <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: �F <br /> Received By/Title: <br /> EH Specialist: Phone: n 6 _ �� <br /> Time in: Time Out: 0 1./` Pag of <br /> EHD 16-24 (2°pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />