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a44Ntk• c SAN JOAQUIN COUNTY <br />a % ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siaov.ora/ehd <br />• �4c1kdA" �p <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: '%0,0 Cr, l-er <br />Date: <br />ddress: 5000 S���r- r� wcc City: <br />5.�Zip Code: 9�Z17� <br />Owner/Operator: 2tG kCAr 1 � <br />Telephone: <br />Program Element: IG L� Program -Record: O - �,� <br />Inspection Type: 0 4♦-i�.� <br />B180 Posted Yes No Permit Posted Yes No <br />Re -Inspection on or After: <br />IONS ANO,CO R <br />T O So Cep - t (, c a 4--e, <br />CTIVEACTION <br />•� tris' 1 / S <br />re 5 fJ O(itQ G �r^ �P 7 %+ <br />/ <br />7 La- L I S %tGIG /H <br />In4".1,jer fcr4I Prov e <br />I:>L G0 da <br />f6'F <br />i 1a rcxl yr. S Srojc4a� <br />j %, ci TOt ltc tyr <br />k , <br />2 -wee rc <br />rc" GMC 0 <br />Ct r� 0 O <Z,-% <br />—7_ l� <br />! T� CC a IGL4- <br />o 'F CQn`F In �tlh r <br />t5 Ito cW11 tz 4o h'eUt 2cJ ,PL�5 cwt <br />( n . c L" (, �r <br />.. L,2S1A/e__ O� a <br />3 (%.3GVerS qr$ r-eC/S <br />2 1/ -eQ <.S <br />_m(Location <br />SK t4or' <br />'' lure <br />"' Item / Location - <br />\ <br />C' <br />rQP <br />q0 <br />c Vt 1ood Safety Certlficad�'�J�Facility Hot Water TemperatureWarewashing <br />Name: IZi c-L.c r� Hand Sink: (UO 7 Chlorine: T -Z) ppm Heat: of <br />Exp. Date: <br />1warmashing Sink: <br />'F rust. Amm.: PPM Other: 'F <br />By/ ,n T_ el 7 , <br />ESPeclal'lyst:_ !„ �KN�Phone: <br />`�N� <br />L0� ,(6 - O %C7 <br />. 0.� <br />Time Out: Pagezof <br />EHO 1&24 (T^ pg) 413113 FOOD PROGRAM OR CONTINUATION <br />