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Qaay=N. SAN JOAQUIN COUNT . <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> -_ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c;`1aaA�;e Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: cup:01 W— (O Date: <br /> Address: 2•t_ I� i . RC1 S Cj(_tDT) Zip Code: /lr�O� <br /> Owner/Operator: .rs G �I I O Telephone: "I✓ - q*5 <br /> Program Element: j.(pU2 Program Record: St' U c) I �i �� Inspection Type: t0�� -un <br /> &180 Posted 0 Yes 0 Rermit Posted 'h Dyes ❑1 Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 1" W Sb <br /> p_CJV 1 cW r,'iqnC4qe, Of-h -'W0S <br /> Since .� <br /> 3 " <br /> - G 'a--I coda ' <br /> -QvvrlP <br /> •S <br /> iS E lc��b <br /> ohl I h f CEe <br /> Item/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: and Sink: `Fhlorine: Ppm I eat: "F <br /> Exp.Date: arewashing Sink: "F r <br /> uat.Amm.: PPM Cher: "F <br /> Received By/Title: d <br /> EH Specialist: Phone: <br /> 9p- <br /> imein: 61 :U'\ Time Out: 25 Page lof <br /> EHD 16 131124 (2°pg) 413 FOOD PROGRAM OR CONTINUATION <br />