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SAN JOAQUIN COUN r . . <br /> ?; ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c421a6a:�;p Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sggov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: dy '5 - tr prStj Date: 7, / ) <br /> Address: S Or i City: u Zip Code: 2G S <br /> Owner/Operator: •/ U afV; I I C /'rr�M c, S fi it Jer ,;ae 1 Telephone: 2;2_J ass <br /> Program Element: b Program Record: S R CG Inspection Type: G fl Su IJc+ .f;�� <br /> 8180 Posted 0 Yes 0 Rennit Posted 0 Yes 01 Reinspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> c W/ qfujrz, <br /> !'a✓: r I f h4Ad S ; n X. 60 r.-e,t <br /> .2 wtees 11 <br /> f'C/v: pltL SO4 JC �Nt / 5 f-, or Ifo US <br /> 6 3 <br /> a ap mi Zr- 2all ion re 4 tvs have bion Pq <br /> Item/Location Temperature Item I Location Temperature <br /> Sleaff) noble I V6" <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: 7i7ot-((.13 Gn I t and Sink: I 'F hlorine: PPM eat: 'F <br /> Exp.Date: .2 _/ arewashing Sink: 'F Puat.Amm.: PPM ther: F <br /> Received By I Title: , <br /> EH Specialist: Phone: LJ b 8' 3 lGy <br /> Time in: a. Time Out: /A; C Page of <br /> EHDI&24(2-pg) 413113 '"� J FOOD PROGRAM OR CONTINUATION <br />