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SAN JOAQUIN COUNTY <br />�o c°G <br />?, ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.s*gov.org/ehd <br />�FORt� <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />4#T-g1ZOP <br />Date: <br />y..2-&.09 <br />Address: <br />2) f011 S Q 1 <br />/W <br />City: T � P Zip Code: <br />? 330 <br />Owner/Operator: <br />M/WN u d <br />Telephone: <br />o �3 <br />Program Element: <br />/G 3 Z Program Record: �G 2 zq <br />! <br />Inspection Type: <br />�Nfl Rou7 pit E <br />SB180 Posted X Yes <br />No Permit Posted f Yes -, No <br />Re -Inspection on or After: <br />EHD 16-23 (211 pg) 11/06/08 v U FOOD OR CONTINUATION <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />N� <br />V r otip r��v5 <br />Item/Location <br />Temperature <br />Item / Location Temperature Item / Location Temperature <br />Eti � <br />3 <br />#o_r <br />_ <br />Food Safety Certification <br />Facility Hot Water Temperature <br />Warewashing <br />Name: <liv <br />Hand Sink: 3/ of <br />Chlorine: -2(::tD ppm <br />Heat: of <br />Other: of <br />Exp. Date: 3 3 <br />arewashing Sink: 3� of <br />uat. Amm.: ppm <br />Received By / Title: <br />EH Specialist: <br />X �� <br />Phone: q46, <br />ime in: �!) ; �U <br />Time Out: 40.'5 b Page zof <br />EHD 16-23 (211 pg) 11/06/08 v U FOOD OR CONTINUATION <br />