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an44'N. SAN JOAQUIN COUNTY <br />?� ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />c4ciFdv�a ". Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.s'aov.org/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: Ca'rte <br />Date <br />Address: �l h <br />V�. <br />City: <br />Zip Code: <br />caner/Operator: <br />✓. <br />1 I -L <br />Telephone: <br />Program Element: <br />tP 7 S Program Record: i D <br />J <br />(/ <br />n Type: r Inspectio <br />8180 Posted Yes <br />No Permit <br />Posted Yes No <br />Re -Inspection on or After: <br />- <br />•Pluff <br />- BSERV D CORK CTIVE ACTIONS <br />_-�, <br />lJ vvv/ Of <br />ii rP�,PI'dF <br />GS <br />b 22 <br />VIA/,i- <br />v <br />f GI.Q <br />Oiaq no iA fift I I, I....Ilem7Locst(o <br />L <br />F Or <br />!✓ Gi i L <br />rPAti!I <br />re <br />c- Lz <br />zy <br />lyyF <br />o_d Safety Certification <br />L <br />7Exp.Date:!e <br />Facllity Hot Water Temperature <br />Hand Sink: j 3 aF <br />Chlorine: <br />Warewashing_ ; <br />ppm Heat: <br />'F <br />I <br />1W arewashing Sink: 117- 'F <br />oust. Amm.: <br />ppm Other: <br />of <br />Received By/ Title: <br />co 16/ <br />EH Speclalist: <br />m �� .L <br />Phone: b / <br />/ <br />_ lsl I U _ 9 <br />Time In: <br />Time Out: <br />' �-r <br />Page'1 of <br />EHD 16-24 (2n0 Pg) 4/3113 FOOD PROGRAM OR CONTINUATION <br />