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vul 0155; SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> �4.5)i ,.a;P Telephone: (209) 468-3420 Fax: (209)464-0138 Web:wwwJgov.orq/ehd <br /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: o7is7 1' ctc 4� �� 830 Date: /cj <br /> Address: -I a U C'_ --- City: S+VC_r n Zip Code: q 52� <br /> Owner/Operator: 1 _ n -b c,4 rP_S Cca; i0l LLQ Telephone: <br /> Program Element: I& Ig Progr m Record: R 0l Oq 5 Inspection Type: —12a v L^�, <br /> SB180 Posted jii Yes ❑ No Permit Posted Yes ❑ No Re-Inspection on or After: 7 <br /> OBSERVATIONS AND CORRECTIVE ACTIONS 10. <br /> ►'0 v-f Ut%C1 - <br /> r <br /> L 5'- -ns <br /> YYl Gun N >►� <br /> m �� �� d <br /> T)Y S-For a t'-sZ nr OCA -1 v✓-e CA ©0 rS u ,' <br /> C Vl C D - <br /> 7� r QYe_ nc + c Lonyl P I <br /> Item/Location Temperature Item/Location Temperature Item/Location -Temperature <br /> i !I° <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: amend_fink: I °F Chlorine: pp Heat: °F <br /> I j m <br /> Exp.Date: g Sink: °F Quat.Amm.: ppm Other: °F <br /> Received By/Title: , <br /> EH Specialist: I_ - // ,L / Phone: /1,63_2 1 r? <br /> Time in: l �� Time Out: 1 L Page of <br /> C '_S.� 1 1 5 z z <br /> EHD 16-24 (2^'pg) 11/2/09 FOOD PROGRAM OIR CONTINUATION <br />