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SAN JOAQUIN COUN t i <br /> Q` Z� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.si4ov.orq/ehd <br /> L)FORN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 6�G r 4 r- Date: _ 2 <br /> Address: / ? 67— O /A r City: csZip Code: 9 :5--to _-zOwner/Operator: Telephone: <br /> jJ.e �r 513-to l'7N <br /> Program Element: 3�- Program Record: f-3 US Inspection Type: W r� <br /> SB180 Posted Yes Y No Permit Posted Yes X No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> n r 16 O a r'd OLf 2- Gore S it u 6 <br /> r bi so vu ?�' Cu-f 7� r d <br /> 7'01a 117 <br /> -f 0 K 10a arrr o r'rL a' <br /> a r T. r f L <br /> O <br /> fl, a., -- <br /> r �_- <br /> c iF6 v3-�.f' Loss cc.in �- r�✓.� <br /> a tci ve- r rru' <br /> (.l rre <br /> C wa r C-k 6 �P <br /> Item/Location Temperature item/Location Temperature Item/Location Temperature <br /> L C�6o Ct r Yrf wl nti i°F x) Ove^ 2-100(7 <br /> oda y C_ 2 Li IT ,- het& y iq0°F <br /> - 'r 7nmP- _ of C'kWc� _ I`f OF CO 2"_0°` <br /> Food Safety Certification Facility Hot water Temperature warewashing <br /> Name: i1/� 9 r HandSink: 'CU/ J,2 y °F C�lki/1W< r U ppm H1ati <br /> Exp.Date: �� lI _ r� _1 t g Si k: 1 I Z, �F O at.Amm.: r C��ppm Other: 'F <br /> Received By/Title: �1 <br /> EH Specialist: 4 Phone: RcJ 3. / <br /> Time in: 01 -1-b Time Out: to to Page of <br /> EHD 16-24 (211 pg) 11/2/09 FOOD PROGRAM OIR CONTINUATION <br />