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aP4p'"•.s SAN JOAQUIN COUNTY <br /> y ?� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.siciov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT S-khcak,-;� <br /> Name of Facility: Date: <br /> Address: O Cob -fes City: pl Zip Code: 9s-2-t <br /> Owner/Operator: VLk-r T tiY.� \ . Telephone: ollb6_ <br /> l l <br /> 1. / Z <br /> Program Element: 1 „ Program Record: K ob��''2�.•.l Inspection Type: n� <br /> 8180 Posted D Yes NNNo Permit Posted KYes O No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS j <br /> I 6v n r2 Info -I o + <br /> 2.►'6 1� 1n ct m H za v d oH-� <br /> ® ds �t-I i3 5pr= v- o Y1-+` i-D ✓ w <br /> YYn•D rrt.�•f-e r <br /> a� y- <br /> d nd-few car, <br /> Item/Location .Temperature 1 Item/Location Temperature Item/location Temperature <br /> AOO G ! 0 S ej I C {_e n 1 <br /> OY� Lyoop 997 Tlel <br /> �ryi t+V 390F O r <br /> Food Safety Certificationaril Hot Water Temperature Warewashing - _I <br /> Name: �4]0 1'e r I Hand Sink: d of Ch1 in t4Ll O.O ppm Heat: of <br /> Exp.Date: �1 II/� �Z are shi Sink: 1119 <br /> 119 >F Quat.Amm.: Ppm Other: eF <br /> Received By/Title: <br /> EH Specialist: /_ . _ Phone: />.��._f•'� I✓� <br /> Time in: 1 O O {�✓�� ime Out: I . , M Page of 2 <br /> � �V <br /> EHD 16$4 )2nO pg) 4&12 FOODPROGRAMOIR CONTINUATION <br />