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tJ <br /> SAN JOAQUIN COUA <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.sioov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: u 2G Date: i p � <br /> Address: 2 A roM Zip Code: /] <br /> Owner/Operator: 1 &ll t.r, Q Telephone: `5m ,��I 1- <br /> Program Element: ��.1�!_ Program Record: rt�2Ci Inspection Type: WI '-fW <br /> 8180 Posted es D Rermit Posted -{ Tw Yves D 1 Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> I u rr hv�I�h i CIS- i M <br /> v0h'icge Loop. aUh <br /> Si <br /> 3 v 1S �CC� vowcl&RQt <br /> ame . isC iin <br /> UCi G17ecips l UC, i oe LobehrQ <br /> wi Gunman hump trn iTh i <br /> tv IS mil M2r 201 <br /> Item/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: F Chlorine: PPmeat: "F <br /> Exp.Date: arewashing Sink: `F Uat.Amm.: PPM ther: 'F <br /> Received By I Title: <br /> EH Specialist: Phone: <br /> Time in: 6r.I O Time Out: CJ Page f <br /> EHD16.24 (2n0pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />