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aP4H'". SAN JOAQUIN COUNTY <br />Iq :i <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />d�ci�dd" a Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siaov.ora/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: rF <br />Date: I �D <br />Address: 2310 S Al f--Po� City: <br />np <br />�S <br />Zip Code: <br />Owner/Operator: <br />Telephone: <br />Program Element: Program Record: I Rt)I1 6 I <br />l <br />Inspection Type: p� <br />- <br />SB180 Posted Yes No Permit Posted Yes No <br />Re -Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />Uro -� • <br />21,L3. T kL er V V OO- <br />in k wGtS 1 Nf . Aal <br />`off- NAo-t Wim► <br />eM-kr <br />l 2 O i V4 M v rv► <br />Go r r -e <br />ct <br />fbr' <br />I <br />A i e-, Z <br />bD <br />he 1 of <br />� i r, as i 5 I <br />r- In <br />ran d <br />on <br />`n <br />oor. D <br />dfAq <br />h�Cc� I <br />CUCC�C <br />A v. <br />A <br />Z <br />\AAO ti b °e <br />%n bo <br />0 <br />% v► t <br />- o rc r <br />10 <br />'10 106 O It, S-e�r <br />G <br />OVl <br />e. <br />6 , b rj <br />° <br />G\ <br />Y1 <br />S weeA- <br />Yoru <br />g ; <br />item/Location- <br />k__ <br />Temperature <br />t <br />h- dour ,40 C,p o r 3-1 F <br />a ©ie 7g <br />fety Certiflcatt _ <br />Facility Hot Water Te <br />ift,, Warewashing, <br />11 Chlorine: ppm Heat: <br />"F <br />Name Hand Sink: of <br />Exp. Date: <br />arewashing Sink: <br />'F <br />Ouat. Amm.: ppm <br />Other: <br />of <br />Received By/ Title: <br />EH Specialist: C' L-At,tD IA- <br />Phone: <br />S02 5.41 <br />Time in:l 0 •% A Iy, <br />Time Out: I l r l A A <br />Pageq oft <br />EHD 16.24 (2 -pg) 4IN13 FOOD PROGRAM OR CONTINUATION <br />