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oP4�l" .s SAN JOAQUIN COUi, ! <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �;.•,:`.;.a Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> C7Fd R� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT 1 <br /> Name of Facility: O LJ U Lckso% L-7 �% Date:05I U 617 <br /> Address: p041,\ <br /> O41,\ (1 City: � Mck / _ Zip Code: <br /> Owner/Operator: 1\ c.1 l•/I` Telephone: <br /> Program Element: t(D UO Program Record: L�UD 1 3 �L Inspection Type: (_OM ICA:n <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 010SIC k r-dr'A R-#,J A ce.t.;c,.e_ <br /> -Fran. vendor jru Is . Crot 0\. ;[e <br /> n krA; er ` t 046 Ko�r^ :nrn S'ti\,V ZC <br /> iS iocU '\r4 lot u� l° e n h ehs turner - as <br /> S 00 0\ You ZL t✓fi-Y <br /> S �fie :S'it. ASQrVery\4C �tjed LIA a'- <br /> f°cl`t- oeS o ell c-e,v �L r- CAf w�Sh C, ,un IV LAS IOIo <br /> COS. O .em d �rn,e (AI o s Itier Ott,v: Ale, <br /> tlR-, r^L,H; G Le o^J pnper. tv ti <br /> 04 ° F Mo\in H,r\ + 6r bd0 ° F. dor si tod <br /> poper bare c o Pcq - -L/r,,(\A4 <br /> C <br /> Item/Location Temperature Item/Location Temperature <br /> �rrL - n F <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: ' and Sink: I��0 "F Chlorine: ppm eat: 'F <br /> Exp.Date: I arewashing Sink: t b 'F uat.Amm.: PPM r <br /> ther: -F <br /> Received By/Title: <br /> EH Specialist: Phone: f-1 6 <br /> Time in: (A • 50 QM Time Out: 10-. � L �M Page for t <br /> EHD 16-24 (2-P9) 413!113 J FOOD PROGRAM OIR CONTINUATION <br />