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aP4H1" SAN JOAQUIN COUNTY <br /> a ?� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> a{ciFd'i ta. Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: j Ccc-<�Ps M 4-L 7771 ct ., 1 Date: 1-16-Z3 <br /> Address: t -2-It 71-k 54-- City: I.Lt 01"+o Zip Code: c/'S--35 t <br /> Owner/Operator: n _ . e-( 2ep--ck-- Telephone: <br /> Program Element: 1 6 3'^ Program Record: PP-O 5 e{7 Gy c7 Inspection Type: �h <br /> SB180 Posted -tTes No Permit Posted AYes No Re-Inspection on or After: <br /> VATIONS AND CORRECTIVE ACTIONS . <br /> Llze. - o �z6 <br /> Iv9t4P3-;1- ky. N3 3 0 -74'6 <br /> 51-1�ke� —S-a19 f'7 69 S 1J <br /> 4 v�` I✓l W P<rl c- 1HLc 1 i-yc '1 L <br /> 1'V1•.CI 1--N fir;).` 4tn C4-1r•'C-t-r 6 G 10 '-1 oI oln <br /> L1R— a -1-1-reS on11� <br /> r-¢C- Pr-o v ads. -f'4`s- ca r <br /> K, . <br /> iL i s Ke w> ,, 2-0 2 C-®2 s ar-e 1 c4 . <br /> Temperature <br /> -. -0Ce0 r 343 <br /> S cal � bl � 7 <br /> Facility Hot Water Tem_p_erature 'Warewashing - <br /> Name: �4 die 2 . nN r Ca' Hand Sink: ! ! F Chlorine: S-O I' m Heat: -F <br /> Exp. Date: _ _ z--A arewashing Sink: ZC7 'F uat.Amm.: Ppm Other: -F <br /> Received By/Title: G <br /> EH Specialist: %_ Phone: 2--c>9 {, 1 6 -3o-70me In: :3z> Time Out: $ ,5�- Page-J2— <br /> EHD 16-24 (2^ pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />