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oP4"1"' r SAN JOAQUIN COU/ l <br /> q 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 /> 41 a 6Vk�' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: lev + -DQ� Date: Ll_10 -/S <br /> Address: --)-60 t5LA (a• r�t•� 1 City: CJ -o Zip Code: 0/ sao'3 <br /> Owner/Operator: ^ Q n C+'D1a � 'L ri Awl CLO ` Telephone: <br /> Program Element:/b0 .� ProgramRecord: Inspection Type: <br /> ( O 1 '13-5 Ylsc,/-/ztA"Orl <br /> 6180 Posted O Yes D Remit Posted D Yes ❑1 , — Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> G <br /> Z/Ay tiP.-I <br /> i n A.1 u O 2 / 4W0060 <br /> Veh t c l c I S oL4,-,e /s na rr-tc . Pro ` cLt cAa . <br /> DO 8 rA A rt av rr C er-K-R ca 4-e- d 6 0 a S <br /> fo U-1 &- 0'- +ro 64 r rrt-o n-e--k r- 6112a l S 5-f r/ S <br /> -(fir .•t,� -1-i-:e r <br /> } Aped 135OF D. to r Co(-A OF or Lo w-e r <br /> 60, rvi +1 ze Ly C-I-h I o O 0�/YT Ch 141 1-1 /r c � 10,11/0(/o n (,Jg-{f r � f Ta6P <br /> bleach <br /> O • r,55uz r-wu -1 -- Py0eiremrri 1 io 33 F4 t A I LI 5 <br /> Item/Location Temperature Item I Location Temperature <br /> 25'Fy-('Vr-CtAv r <br /> /cl6' c In d�S <br /> 15m41nuc Is I-tin� <br /> 1709 s <br /> Food Safety Certification Facility Hot Water TemperatureVt I I '/"OYL/ <br /> Name: and Sink: `! "F Chlorine: ,F <br /> Exp.Date: Warewashing Sink: 'F dust Amm.: `F <br /> Received By I Title: r <br /> EH Specialist 7 �^ 1 Phone: 43 L <br /> Time in: 6 �f Time Out: tJ 6 / Page/ of / <br /> EHD 1644(2-pg) 4013 FOOD PROGRAM OR CONTINUATION <br />