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oPo"'y SAN JOAQUIN COU <br /> ENVIRONMENTAL HEALTH D 'ARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.s6goy.or0/ehd <br /> [r�dnN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: G!-,b n ywS+ } 7 N 3?a Lt Z) Date: -3 -10-1,5 <br /> Address: I 1_„ /1 .,m,�r•� City: n Zip Code: �S� <br /> Owner/Operator::! U; C-i.IJ r� r JR O Telephone: y ab_5z)0Q <br /> Program Element: t(03 Program Record: pp-c).5 a9 o 9 InspectionType: ^-� l <br /> 6180 Posted 0 Yes 0 Permit Posted 0 Yes 0 1 Re-Inspection on or Aker: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> D • K. >�p LSstrr►� 1 dor --2-0 )6 <br /> ItemlLocation Temperature Item I Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: and Sink: "F r <br /> hlorine: PPM Heat: "F <br /> Exp.Date: rewashing Sink: eF uat.Amm.: ppm ther: "F <br /> Received By I Title: _ <br /> EH Specialist: �^ ozo Phone: n G ,3`� /,7 <br /> Timein: 8•j'` ,-A/ I Time Out: _f✓ Page 1 of / <br /> EHD 1624(2°pp) 4/31133 FOOD PROGRAM OR CONTINUATION <br />