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aCA`tln• c <br />SAN .JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility.—�_ _ <br />-3� b <br />Date: <br />I' S' Z <br />ddress: \ 1 " \ <br />'1 <br />City: �.p �( Zip Code: <br />caner/Operator. <br />EN <br />Telephone: <br />Program Element: \b2C Program Record: 5`.,"� `^ <br />B180 Posted ❑ Yes ❑ Rermit Posted l -t❑ Yes ❑VI <br />Inspection Type: <br />Re -Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />nn <br />3' <br />�L <br />2 <br />I <br />Q tQA <br />V;L9 <br />*2 <br />� �- -\-(' ; <br />- � ►L \ rc <br />� <br />122 i— <br />.. ,.; /Location <br />kem <br />,; ; .Tempe rature 1 <br />u <br />Item i Location <br />_ <br />, Temperature <br />'Al <br />38 r <br />c civ .re �40F <br />ame: -- 0.r and Sink: \r�C\ <br />[Exp. <br />2- <br />Warewashing <br />,F hlonne: --�-- - ppm Heat: <br />IoF <br />F - <br />Date: _ 22_ \--i <br />arewashing Sink: <br />.F IQUaL Amm.: � ,^^ ppm ther: <br />-�-�(V� <br />,F <br />[eceived By I Title: <br />Specialist: <br />k..) <br />01 `� - <br />Phone: _ r—" 332me <br />V <br />in: i 0 t <br />Time Out: \ 1 � 0 in C <br />Pagrr pf 2 <br />enu 6o-24 (2" pg) aarf FOOD PROGRAM OIR CONTINUATION <br />