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SAN JOAQUIN COUN* <br /> � •.OG <br /> 'y ENVIRONMENTAL HEALTH DEPARTMENT <br /> Q: a <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.si, ov.org/ehd <br /> ��FOR <br /> FOOD lPROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: tiLinC l 1. t- 1— i J , �"i 4-J Date: j1/yI <br /> Address: I -'L-0 (A1�1- �1 /1 City: �-bC v•off Zip Code: �-Lo <br /> Owner/Operator: (1 vl Telephone: 2, 2 Z <br /> Program Element: , Program Record: fOoo L, "}�� Inspection Type:CGS 1 -�n•-`_ <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: I I <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 1 rtA -t-ood cAAtr,,,I o, t _ c L1-f" -,F-�t+ <br /> C�A hnd w -) (o c cnu+S a r6ei n c A2d CA)--V'90-.e- <br /> P1 S CC`s 1 6X Ck Ohl i nS-kaQ_ the- <br /> 2 (0j n <br /> Since Ie�l <br /> 3 U U �-� i S I ► - v-cam 1 l� � Asof) J no-+, GrO <br /> z�I A , h S( vn t1 1 UGC tv - QGi oc9 S <br /> _e G C <br /> R wnq Ll-,� �s no} (wP-j ec) . c c,v 0_ ft,cjgcos <br /> Csz <br /> vv)S adctco <br /> �- '(��� h �- C1F wU-�r �XF- 1�he hr.� STn� . Nk�•-e v�,� wGrS <br /> C,��e1 C d • C�w�'i�..i!S M��y r-t'ln�h !-��'+ ���1 c,1 wU-�-�T-c�t� �11 -�-i I��� . <br /> Item/Location Temperature Item/Location Temperature <br /> T Food safety Certification Facility Hot Water Temperature IF shing <br /> Name: Hand Sink: ofhlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: OF uat.Amm.: ppm Other: OF <br /> Received By/Title: <br /> EH Specialist: Phone: rGq_ �l _ <br /> 4- <br /> Time in: u . 1 Time Out: 1 i Zt) TJ Page of <br /> EHD 16-24 (2nd pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />