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aPa"'"• SAN JOAQUIN COUNTY <br />a` ?� ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />�gctFda+;a.. Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.s'oov.org/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility:�rr e� <br />Date: <br />Address: 13 26 C,u1T'�� �t - City: <br />�G <br />-�ac� �L�- Zip Code: 9 <br />ZG.� <br />Owner/Operator: Rc,S �( I I -N c- <br />Telephone: <br />Program Element: ((,l Z Program Record:5-x(7 (3 <br />Inspection Type: <br />SB18O Posted Lyes No Permit Posted Yes No <br />Re -Inspection on or After: <br />bSj"10NS AND CO R_ <br />a p-enrh S cast <br />C IVE- , T10 <br />o bl a � - mel - C(astrt - <br />T /< i AFo I vn f 'f f' <br />cG -F%a o n/ r k as <br />_(1Wr <br />C.e..noJect ori Z,a-Cc n(ti S <br />Se r^'c(oS/rl devI <br />�s <br />I';0'— c(l I r-e� it % ve <br />„ , re.K 0-ec4 - ICT �Q R If <br />1 <br />Temperature. <br />c e nZ 2 Oo�� o <br />�G�car� = 5 (B2rn777 <br />'re <br />I3�(�•`r- pain �{O <br />t,r 2, POOrP2P 4 i <br />nE_2 ff�F Facility Hot Water Temperature Warewa Hand Sink: ofChlorine: iC ` ppm Heat:op <br />���� a ES+rell4 io 0P�. 26 arewashing Sink: (Z� eF Ouat. Amm.: ppm Other: <br />of <br />Received By/ Title: <br />EH Specialist: _ <br />Phone: (6(6-3c>70 <br />Time In: Z2U <br />Tlme Out: .O <br />Page2ofZ <br />EHD 16-24 (2w pg) 4/9113 FOOD PROGRAM OF CONTINUATION <br />