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SAN JOAQUIN COU. .Y <br /> P • <br /> y� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> .. �P Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> 4LjFo.�ea <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: a ✓-k ✓ Cho Date: <br /> Address: / ,-T�1 City: 6-4V'.L Zip Code: 57-02 <br /> Owner/Operator: lOQ d Telephone: L <br /> Program Element: O Program Record: 5 b o& 3 q spection Type: )'S U/ 1"0,7 <br /> SB180 Posted Yes ❑ No Permit Posted Yes "- No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> o oen e t/O�u'f7res�7 t�Oal S <br /> Lei C Oi n d CA f7o<od w yrcP <br /> r ere moo <br /> r-P Q v2 Lu L c1� - <br /> r N r <br /> -Focl r ch o . <br /> ``),Le— n 1, / h; ue-3 <br /> • � oohs . <br /> ?re n-f - i NSF ran Due c�' h w cis ke r^ <br /> "' a w(-'4 h CtjjS h AV r 2 S heel C <br /> ze- aces w c r•-fiSu a <br /> w 5-e to_-'s a.,; <br /> tj h-e n -e r►is ubLa n s Lo�+►'t <br /> r» S w "o- C\ n h a- <br /> mop <br /> h r >, , i2. l L" e > r yrt S .-to -1- <br /> Item/Location Temperature Item/Location Temperature Item/Location JTemperature <br /> l'Y1 cru/IL-c.�v Le►� 4 y F :2 r C®C .h <br /> w lnuf ns !1' OK c®dQ)- 3 <br /> door`Ti'ca-e- ° <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: o C ovine: Hat . <br /> rAA' CQ 4L { '-& F In/ � a Ppm r /37 o f <br /> Exp.Date: , Sink: Quat.Amm.: ther: o <br /> :� �J- 11 , - �.•• �F OO PPm F <br /> Received By/Title: ` n e2i.-7 Q/ <br /> EH Specialist: Phone: <br /> Time in: Time Out: 2212 lD;o Page of <br /> J <br /> EHD 16-24 (2^a pg) 11/2!09 FOOD PROGRAM OR CONTINUATION <br />