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SAN JOAQUIN COUF <br /> X ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> L(FORt, <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT t/Cf/I 40 <br /> Name of Facility: )� l;L ftp ;�C 1 L�r } Date: I. <br /> ddress: 6- i pGT G City: -f�� Zip Code: � _p <br /> Owner/Operator: P0 M 011- Ar c Telephoner <br /> Program Element: b(��j Program Record: '� Ucj3?.� Inspection Type: "T <br /> SB180 Posted Yes ❑ Permit Posted Yes ❑1 Re-Inspection on or After: �--' <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> awla S L1kelup, ve' C V-0 iZ <br /> 01--ij CVocir) ot aii -tim e5 <br /> p )1 V006 wG -in rnS <br /> 0111 IFOC-6 wo s4e loe f c-re 6-�SCCz <br /> hyo-{ J O� AtXZ d LA m _qe__ S Ckv e L )osetl u <br /> �eCt\m 9e-f-S rkojgecl DI+ U mQ s . <br /> JLPA42 CA Ve to-,.A A9 -Ai,.n ► c h <br /> • - Q cm) man ~j GwP ' <br /> Q v 62St , c n w o C c4-A-e S a x <br /> a M1 .�vr5 !ZC4- (V\-Ivi)C( Le fib <br /> Cj-rt Cm +4e <br /> ................. . ... ....... <br /> .. Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: �F 'Chlorine: Ppm Heat: °F <br /> Exp.Date: Warewashing Sink: of IQuat. Amm.: PPM ,Other: 'F <br /> Received By/Title: <br /> EH Specialist: Phone: d <br /> 7-Ucf - (Ag,-3 -T <br /> Tim e_in• Time Out: f Pagee pf <br /> EHD 16-24 (2�pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />