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oPaw SAN JOAQUIN COUNT>< <br /> er c <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> • c... :P• Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.segov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT Qors�o� <br /> Name of Facility: To hn 5 e c� Date: 1 <br /> Address: 9555r kin e__ City: :!J7v cXYvn <br /> Zip Code: 95 20-7 <br /> Owner/Operator: I0 A n o-r Telephone: 9'5 2_053 <br /> Program Element: 140.214p Program Record: P�0��0 j Inspection Type: �n <br /> SB180 Posted s ❑ No Permit Posted 71-Yes ❑ No Re-Inspection on or After: [�ct <br /> OBSERVATIONS AND CORRECTIVE ACTIONS .. <br /> Y rm - <br /> Ar a _ c �Oct <br /> LLGZ r I ' l bti-F n Gu'Y 0tr' <br /> 3 a door /d r <br /> V O r5 Y d 0i m Q O c� /? <br /> GA,Q r acmc A.- _7L <br /> -Hz),-? -:eje <br /> All 0444r- t tJJL i > - o -I 1 w <br /> GDrr� <br /> tem/LoGatiort a Temperature Item/Location Temperature Item/Location Temperature <br /> malt U'6_!/K, L!�°F —5wr OLAAP.n wor <br /> a ° <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Haid Sink: of Chlorine: `i ppm Heat: of <br /> Exp.Date: gwashing Sink: of Qu t. „Cppm Other: of <br /> i <br /> Received By/Title: MA ti q <br /> EH Specialist: Phone: J� q <br /> Time in: J Time Out: J DD O Page of <br /> EHD 16-24 (2w pg) 11/2/09 FOOD PROGRAM OIR CONTINUATION <br />