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�BnA •Fq SAN JOAQUIN COUN <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �q.. •, ' ..�r Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> �nn(2 : <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT gg3-01-13 <br /> Name of Facility: -C-�(An GU 'I(\ wu pv Date: <br /> Address: 2q 11 1 Fw \d city: SiGIL- n Zip Code: q5 Xf _ <br /> Owner/Operator: S (G Q�'H(o f �,DU Telephone: 106 _ 4q111-4 <br /> ot L1 .t <br /> Program Element: I b�2 Program Record: p a-1 �O I„rt 2 Inspection Type: and 1.`.1"t - <br /> B780 Posted Yes No Permit Posted Yes 1_ No `�'1 Re-Inspection on or After: 1 <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> NO violrl�ions <br /> Item/Location Temperature Item/Location Temperature <br /> Gtlk ire C-f <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: 'F hlorine: Ppm Heat: 'F <br /> Exp.Date: Warewashing Sink: 'F uat.Amm.: Ppm ther: "F <br /> Received By/Title: <br /> EH Specialist: Phone:/d--O!'I i6G d b <br /> Time in: ,U Time Out: `_'13o U l PagezoV <br /> EHD 1624 (2^Pg) 4rN13 FOOD PROGRAM OR CONTINUATION <br />