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SAN JOAQUIN COUN . . <br /> � •.OG <br /> :: X ENVIRONMENTAL HEALTH DEPARTMENT <br /> Y. 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.si4ov.orp/ehd <br /> �/FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Pu T U0 <br /> II Date: I- r_ 1,5 <br /> Address: G C , 1 h u r City: )r ca i Zip Code: q 53 ?l <br /> Owner/Operator: G , h C IIG n Telephone: $ S17' -7)4 '1 <br /> Program Element: r 114 <br /> Program Record: C 3 C�tl! Inspection Type: C -it^S d.*& <br /> SB180 Posted Yes No Permit Posted Yes No 17 Re-Inspection on or After: _d 3t g z KS <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> CG /l:c1d t' YC� I <br /> JP f, ov; dc Food rna n r Cr a; IiCa4C rt to 04 <br /> Wta K.S . �rax reco ; 1 i n 3 Wee Ks Or ok <br /> i r-jnf c4i on W. 1Oce(ur <br /> Item/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> t <br /> EH Specialist: Phone: <br /> 44 t•24t <br /> Time in: 1 6 Time Out: I Page of <br /> EHD 16-24 (2^d pg)4013 FOOD PROGRAM OIR CONTINUATION <br />