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g"'" SAN .10AQUIN COUNTI <br />i° �o <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />c •., iP Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br />4�jFORia <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: C <br />Q r ik re <br />Date: SL$-_ 19- <br />Address: / 0'r- <br />r Za <br />:S City: <br />Zip Code: <br />Owner/Operator: Fu mot e <br />a <br />Telephone: <br />Program Element: Program Record: 'p 6-311?� Inspection Type: <br />SB1 SO Posted Yes Ll No Permit Posted � Yes ❑` No Re -Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />D!� Tz:;"C[ig <br />J <br />� &o -5 se( <br />s ,`s Lte_5 S a t ab sy <br />� w�.=+- � <br />re ✓v lct - <br />Item/Location <br />Temperature <br />Item / Location <br />Temperature <br />item /Location <br />Temperature <br />Food Safety Certification <br />Facility Hot Water Temperature <br />Warewashing <br />!1 <br />Name: 1v 1.4- <br />Hand Sink: o f <br />Chlorine: <br />ppm <br />Heat: 'F <br />Exp. Date: * <br />Warewashing Sink: of <br />Ouat. Amm.:ppm <br />Other: of <br />Received By/ Title: <br />EH Specialist: <br />hone: <br />Time in: <br />Time Out: <br />Page of <br />EHD 16-24 (2M pg) 11/2/09 FOOD PROGRAM OIR CONTINUATION <br />