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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.sioov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: rIc he- Date: =310- <br /> Address: -,. (r"t.-�—b�j City: 6+0 <br /> ems_ Zip Code: <br /> Owner/Operator: 1 y)0i t'+hCL 1 5 Telephone: _a <br /> Program Element: 03 0Program Record: 2 00 15 Inspection Type: <br /> 6180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> c, Zj1g4+b-1 I iv t � rKP3au�9J 35Q1 � 1.'� <br /> ��-,(-^wrAA-er ►tea- ho-I- -e nav�ch ai- i0(o�had.L lo.c 112oQ� a r <br /> or r e z rf_s t <br /> '-Pro t'rr,,o r ce.o (..e io I l l <br /> Lk- 6t, to 0�,12=sf ds <br /> ler L` or oA- <br /> a - <br /> YAC l��'o Yom —e I »- ;4 Uri I C,0 el ck_ 't 6)—� <br /> n t o +:+f> n. Ic_ 4-r� i. 5 rr.�k �I r ra m Ito S <br /> :?-f5 <br /> ow v a✓� 2 rt'1 -I- tnr-a-i-c ° <br /> o� F>,e-r m+ <br /> Item/Location Temperature Item/Location Temperature <br /> lam, � �I DAF <br /> Food Safety Certification _ _ Facility Hot Water Temperature Warewashing _ <br /> Name: Hand Sink: of hlorine: Ppm Heat: of <br /> Exp.Date: arewashing Sink: uat.Amm.: Ppther:f of <br /> Received By/Title: <br /> EH Specialist: �J Phone: 9 S3— <br /> Time in: 8:?,S ' / Time Out: .�: I O Page of / <br /> EH016-24 (2 Pg) 413113 FOOOPROGRAMOIR CONTINUATION <br />