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SAN aJOAQUIN 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.s'aov.org/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: (` " <br />i,-r£ci- uis�uogz <br />Date: 01 _II2 <br />Z <br />Address: 0 <br />*f'F4 <br />ity: Zip Code: <br />Owner/Operator: <br />Telephone: <br />Program Element: <br />Program Record: <br />Inspection Type: <br />8180 Posted Yes No <br />Permit Posted Yes No <br />Re -Inspection on or After: _,,, <br />3 <br />111WIONS AND CORRECTIVE ACTIONS <br />S coIFt v5 ,E3� r' <br />C Le04 N <br />L <br />is a L.6GYa <br />1`jl <br />• <br />T8f E I. cE `' 4 A c-441 rJ <br />a tj 14. ri twiL.D01" mj <br />�r V • <br />v <br />Co V <br />G>—$p IJ T <br />q5.6. <br />o <br />77AirG <br />W - <br />znl <br />S ID <br />A/ Gnt <br />1 E <br />Go <br />Te <br />'Location ` � v ........, .: <br />i ' perature <br />Food_ Safety Certification - Facility Hot Water Temperature <br />Name: Hand Sink: of <br />—Sink- <br />Warewashing� <br />EChlorine: ppm Heat: <br />=F <br />Exp. Date: <br />arewashing <br />eF <br />Amm.: ppm <br />Other: <br />=F <br />Received By / Title: <br />EH Specialist: <br />Time in: <br />Time Out: <br />Pegof <br />EHD 1624 (2^ pg) 4W3 FOOD PROGRAM OIR CONTINUATION <br />