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aPa"`"••� SAN JOAQUIN COL .'Y <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: C,P'7 G' of- Co-44-,� Date: 2_1(f-13 <br /> Address: D 1 OO - �" City: G Zip Code: �;Ll <br /> Owner/Operator: 1 A o Telephone: 9 _ 19! <br /> 40 <br /> Program Element: 1&-Z--3 Program Record: O('� O 5a ('P co Inspection Type: P-1 <br /> n <br /> 6180 Posted Yes 0 No Permit Posted XYes O No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> W6 J�R,4ja2U /I <br /> Itemfl-ocation Temperature Item/Location Temperature Item/Location Temperature <br /> or-k U ' x'10 F <br /> Sa 114 j66"r <br /> Food Safety Certification- _ .. Facility Hot Water-Temperature Warewa_Shing <br /> Name: Hand Sink: /a -Fhlorine: Ppm Heat: eF <br /> s in S <br /> Exp.Date: arewaink: 'F I <br /> uat.Amm.: Ppm ther: eF <br /> Received By/Title: <br /> EH Specialist: Phone: /2 <br /> Time in: , .0 Time Out: '7 I v Paget of <br /> EHD*24 (2-P9)49ft2 FOOD PROGRAM OIR CONTINUATION <br />