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"oP4"'"• SAN JOAQUIN COUNTY <br />Q' ?� ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />8• ., r Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sioov.or0/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: E 0 0 <br />O <br />K <br />Date: t ZOt <br />Address: �. 3 15; <br />I� l �•.,� City: <br />S„tL7GK_y <br />Zip Code: 52 <br />Owner/Operator: <br />Telephone: <br />Program Element: Program Record: <br />Inspection Type: <br />SB180 Posted Yes No Permit Posted Yes No <br />Re -Inspection on or After: <br />rorr <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />1-4 MA VIOL <br />-Yi <br />7 <br />a <br />y <br />!o <br />/-C <br />L 6S <br />4A,0j') OWW/A6M <br />-ek"a <br />SS JF 00 <br />1A 1 <br />SFaA -Se* <br />ve <br />/S G <br />A <br />0 <br />'3eq <br />5.A�. OAS&ZVeb <br />1AUju_bAjP0L)At <br />t 91 <br />0J9 <br />/n <br />WN <br />.. <br />kem/Location ° �• ernperature ` ... m / LOCe __ <br />v _i V/.1 <br />!>?E -1 yid <br />ood Safety.Certlaea _ Facility Hot Water Temperature- <br />Hand Sink: OO =F Chlorine: <br />ame: 1A i <br />"- Te- pefelura <br />- <br />Warewashing <br />ppm 11 Heat: of <br />Exp. Date: <br />arewashing Sink: 23 <br />eF <br />Ouat. Amm.: <br />ppm <br />ther: of <br />Received By / Title: r <br />EH Specialist: C L A lot- <br />0 <br />Phone: D — <br />54f/ Z 3 <br />ime In: /0.'S/x M <br />Time Out: / / <br />97 Pagwlz <br />EHD 1&24 (V pg) 4/8/13 FOOD PROGRAM DIP CONTINUATION <br />