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PQu�" f SAN JOAQUIN COUNT <br /> �O. .COG <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> cq.. ip Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.s'gov.org/ehd <br /> �i Foaa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �� U� -1 t Ai4-)W Date: 1220 <br /> Address: " 2 h vw U City: �rUL1!1-Z�, Zip Code: <br /> Owner/Operator: � �mq �_. �\�N C ! �if�rGl ��-�S Telephone: C?_Err-5 CI <br /> Program Element: 1��Z Program Record: r_-, Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No U Re-Inspection on or After: <br /> OBSERVATIONS ANDCORRECTIVE ACTIONS <br /> F000 MUS ' S C.Q_,'(0-XQCAA-e � S RCS- GI-N S-}e- VGi("tAU)n <br /> L S S L U wu> - c- C" <br /> Coo w u'ket <br /> Item/Location Temperature Item!Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm pleat: of <br /> Exp.Date: Warewashing Sink: of Ouat.Amm.: ppm Other: of <br /> Received By/Title: I <br /> EH Specialist: Phone: q ocA 4!C re 4 4 <br /> Time in: '` . 2't) 'k Out: `, - �1 F, Page �of <br /> 4 � <br /> EHD 16-24 (2nd pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />