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SAN JOAQUIN COUNT . <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: <br />Ne " n a n sl Lr S <br />r o'&f C <br />Date: 3 — /3-/5 <br />Address: 0A <br />, A G ,� <br />City: vil <br />w V.- Zip Code: 756 <br />Owner/Operator: <br />-TOP- C <br />! Y nrn z A Vii/ <br />Telephone: / .9 <br />Program Element: <br />//_t% Q 3 - Program Record: $ �( 00 7/,'/C <br />Inspection Type: �NSu I 'gyp 1 Gti <br />8180 Posted <br />0 Yes ❑ Remit Posted ❑ Yes ❑ 1 <br />Reinspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />d sS112U1 <br />V;riPt -$;7f5 <br />Vrj ✓% 01 <br />is on <br />Oi <br />je, <br />8,,ir1: -t <br />GY .20IS cn"c <br />r -P s hr'k-e bee4a, <br />Item/Location <br />Temperature <br />Item I Location <br />Temperature <br />Food Safety Certification <br />Facility Hot Water Temperature <br />Warewashing <br />Name: <br />and Sink: of <br />hlorine: Ppmeat: of <br />Exp. Date: <br />arewashing Sink: of <br />uat Amm.: <br />ppm Cher: of <br />Received By I Title: <br />EH Specialist: <br />Phone: <br />f� <br />Time in: <br />• f d <br />Time Out: . y Page of <br />EHD 7624 (2a pg) 43113 FOOD PROGRAM OR CONTINUATION <br />