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SAN JOAQUIN COU( ' <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> Q• � :a <br /> N: X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:vvww.siQov.orq/ehd <br /> �/i=oaa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: h cjeri A ra•-+dG Date: 3-6 -15 <br /> Address: -13.0 eJ- OotLA• G(r%A 0, City: 6+0Cjr_+,Ol Zip Code: 016:Z_0 3 <br /> Owner/Operator: PYlarl'Ot Telephone: L`q(40 <br /> _ x,733 <br /> Program Element:l�Ob l D 6 Program Record: 5 0 0 -) 1 (O(G u Inspection Type: 17,Sv / ro*J <br /> F1_80 <br /> Posted E Yes C Rermit Posted E Yes E I ! Re-Inspection on or After: <br /> win <br /> RFAP <br /> OBSERVATIONS AND CORRECTIVE ACTIONS ._ . <br /> �n U TP a M `l X35 o Co 2�t 1 <br /> 0 D'A rrl A Yt- -0 r G2 "R GA4C_ ro 4 &4 4-e • 1 rc+Ve- 2- <br /> i b `7 11 ,5 <br /> 00 cl 8 '0 <br /> I.i P r4(/`I C34 b tl I W-P..ex <br /> 1'l611n b o"X 'S e4,00Y I s Ke+ a hbm <br /> r1'o) • prow' A-R- b l w_0_tk . <br /> CIO ve-y- Pr b <br /> door r► e, r1' Cl iz I - Lo plat L4 <br /> c1 ✓l, _e Yt-Fr-oi n d 1�- V 2 r rru n <br /> o• K 4 L SS HR 'ice /'w"'4 • o n&4- p,% cA l Iv a5 <br /> ItemJl acatiorr j+"4` "iJ,r, MO <br /> fiemperature.s ' �` C3r1 <br /> Food Safety Certification Facility Hot Water Temperature Warewashin_g <br /> Name: Hand Sink: of Chlorine: Oppm Heat: of <br /> Exp.Date: Ware ashing Sink: /Z3 of uat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: aPhone: Gi L 7 2 , r�d 6/r7 <br /> Time in: : 15 Time Out: / P:45Pagelof 1 <br /> EHD 16-24 (2n°pg) 413!13 •J FOOD PROGRAM OIR CONTINUATION <br />