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SAN JOAQUIN COUNTY <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 /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �L�L S 1D I I(' Date: <br /> Address: � r City: 51fi Zip Code: <br /> Owner/Operator: t Telephone: <br /> Program Element: Program Record: Inspection Type: U.WlAo— <br /> SB180 Posted ❑Yes E, Rermit Posted Yes F I Re-Inspection on or After: 1 �N 1 � <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> u �-eacA - to-alt tccjY ,• nu e— sal I, <br /> -f*ffe i not QmcM � c_.e Cov e/'nt')q i-1- u f+ <br /> b ven CAtvooe dor ace, CAl ak is - �n S . <br /> CUY(; OrO C,01W nod fui► je -\<1 COTTe t .DdtA <br /> GY t-40 w04ff Gm fire GiIP j wca- W( '�M - e Waft VQJ <br /> T-0UlIis Co&%n (OzN to q Lar Kofi an a rD n2 <br /> c w0.r Stw e CNA -S iM c-.� 11\-2 I lP�( - b 1 S ca n1l n v� Gta <br /> N o wo kln ),�, 011CWecl CMtSi <br /> 0\ r QroAlU14 i e� dU�4 e Can+Si C-th S - <br /> K.e_ cA hd d tb Cern a 1 s ccm-Ihn -t�da <br /> ItemlLocation Temperature Item 1 Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature �` Warewashing <br /> � " ._.-w.. _ <br /> Name: Hand Sink. i�- of Chlorine: ppm Heat: 'F <br /> Exp.Date: arewashing Sink: 2 eF Qu <br /> -A—Mm.: ppm Other: 'F <br /> Received By/Title: <br /> EH Specialist: - Phone: <br /> d�n fV_ ub 2 <br /> Time in: CI . Time Out: '�_•,�� J Page'70 <br /> EHD 16-24 (2^ pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />