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SAN JOAQUIN COUNTY <br /> ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ••C4GtFd.p��P Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.s'gov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: e scn 1 b S Date: <br /> Address: ' 2 C ��� City: ;��� Zip Code: Cl S� r <br /> wnerlOperator: ` \e S , Telephone: <br /> Program Element: Program Record: S 1 Inspection Type: <br /> SBI80 Posted Yes ❑ No Permit Posted C Yes ❑ No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS 16' <br /> TANJ3� 33 �'. 3 <br /> C o C,(F\r) s' <br /> — t <br /> > S�:A P coker 7S�1 ' - <br /> \ 37TEMP ERMOLABEL'a <br /> 160-F <br /> L — w.,�u i�����. n°C 1 <br /> black. 1]0-F W <br /> i=nn�,.�.,," ❑ ]rC Fa <br /> �e� ❑ °' <br /> 160"f O <br /> 5 e S-+F S r�r2 0 3 1 62 c <br /> ler <br /> c• w 2� <br /> \ 1 <br /> (owJ ' CA \ec, IIZ F <br /> vNr-�a 5;0 00 <br /> Item/Location - Temperature - Item/Location - - Temperature Item I Location Temperature <br /> v'zk \ 1 _ L L(eom (�� 3 — -&A :S4S I:-- <br /> -z ? <br /> - <br /> -2 , - <br /> Food Safety Certification Facility Hot Water Temperature - Warewashing <br /> Name: S y� Hand Sink: \ w 'F Chlorine: ppm Heat: 1 r1- aF <br /> i <br /> Exp.Date: ,Z— ZO — 2!1-A arewashing Sink: 1 2�� 'F Quat.Amm.: .-2_, ppm Other: eF <br /> I <br /> eceived By I Title: 1 �\/H Specials Phone: <br /> ime in: \ \ 1 Time Out: <br /> EHD 1&24(2n°pg),V9I12 FOOD PROGRAM OIR CONTINUATION <br />