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SAN JOAQUIN COUN" <br /> " ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> a•... ;p Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> �UdSae+ <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: X 7 7P oj' I Date: 21/13y S <br /> Address: 136 <br /> I SQC90 n,r� � City: f O,lt Zip Code: t52 a <br /> Owner/Operator: nin� 1j4QUI ,t7 (e u —t. C� l• C� Telephone:�lO _040co <br /> Program Element: ,I w3 Program Record. s O U 1 ( '>�Z.� Inspection Type: cgnv I \Cn <br /> 8180 Posted 0 Yes 0 Remit Posted D Yes of Re-inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 1 fi S 'n vk NiX fJ2 Kwt <br /> the q:\Vr) 3 s <br /> 71 <br /> r lKF L1 AE. S `F <br /> WICke to ir0cb VvU e/F PkV,+ Cu - <br /> wiCW 0, �006 W6 l est' (C �tX U 1 Z S i1) <br /> 6-1-�-4•P�- <br /> 1ho �eU U 1 3 did. <br /> I <br /> Item/Location Temperature Item/Location Temperature <br /> a r � <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: 1� 1�1(6-3 and Sink: p(� 'F hlorine: va f PPM eat: of <br /> I <br /> Exp.Date:- �i I rewashing Sink: 2U eF Lat.Amm.: ppm ther: eF <br /> Received By I Title: <br /> EH Specialist: Phone: _ fI1 1 <br /> ime in: Q: UC) Time Out: tU.2U EPageof] <br /> EHD 16-24(20 Pg) 46113 FOOD PROGRAM,OR OONTINUATION <br />