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SAN JOAQUIN COUNTY <br /> .Z� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �;..• a�P Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.s'gov.org/ehd <br /> LIFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: k4� ( C_0 G 14-.cI I I - 7t <br /> 1 Date: 2� ' <br /> Address: �.� S u I fz�rh'I q City: S1rzyl'�4 Zip Code: 9 IZ-7 <br /> Owner/Operator: 111 a Telephone: <br /> Program Element: ' Program Record: f� v/ Gc Inspection Type: n S / �, <br /> B180 Posted ❑Yes ❑ Permit Posted 1`^ C-j Yes I5 <br /> O1 l� Re-Inspection on or After: /l w s <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 1' ood cir►cl CG 01111 � t <br /> 1 vs 2Qi1�,� i, 1 <br /> 2 C; VI <br /> 3 OA i i' SCA b6 CO1SA i S 1 C W-d - <br /> C <br /> G� <br /> U .e&CCk L V cue d Cr sIte- <br /> til C<71 <br /> ffL_ _t n� i CAar ai- 0h intAP-s <br /> Item/Location Temperature <br /> Item Location Temperature <br /> i <br /> Facility Hot Water Temperate Warewashing <br /> Name: V; 11 ( Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date. .1 arewashing Sink: of Quat.Amm.: ppm (Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> o,—z4viq + <br /> Time in: I 1 , Time Out: ,L-. ir- Page )of / <br /> O � <br /> EHD 16-24 (2n°pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />