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SAN JOAQUIN COUR <br /> 2-+ ENVIRONMENTAL HEALTH DEPARTMENT <br /> X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:vvww.si4ov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: / rU K'ct.r #�� ate: � _ <br /> Address: City:s r--L4City: C _ C47 0 Zip Code: 0 02 03 <br /> Owner/Operator. --ri r 5 D i O,,1 en94#W144 r vy�Z Telephone/ S a 7Program Element: �/40,3-5 Program Record: p q 0,54 0,56,3 Inspection Type: 0 _ L <br /> K8-0posted r es ❑ Permit Posted )QYes ❑1 Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> m <br /> r y `c <br /> a <br /> ..em/Location i Temperature i1 item/Location Temperature <br /> lwf ........ < < _i .............._. <br /> Food Safety Certifications' Facility Hot Water Temperature Warewashing <br /> IED <br /> rs a / Hand Sink: q1 ,*� aF Chl ne: pp, 'Heat: F <br /> ` V GU C _L <br /> ate: _ arewashing Sink: of Quat.Amm.: pprn Other: of <br /> Received By/Title: k �� <br /> EH Specialist: Phone: C 7 <br /> Time in: h Time Out: /�Y• Page!of 1 <br /> EHD 16-24 (2n1 pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />