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SAN JOAQUIN 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.siciov.org/ehd <br />�IFOR� <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: /Wl <br />Data:O/ —2'/—.7- 3 <br />Address: Z i0o 6 ,U A I#4 City: <br />rill �G Zip Code: 9 247 <br />Owner/Operator: <br />Telephone:? <br />Program Element: Program Record: <br />Inspection Type:.,&47—/ <br />B180 Posted Yes No Permit Posted Yes No <br />Re -Inspection on or After: <br />JOE OBSERVATIONS AND CORRECTIVE ACTIONS <br />v <br />! Z! <br />Q 5<ARSAZ &QdP41- <br />d p <br />CO <br />o <br />—n <br />L <br />TF4 <br />,41P4,06!�,IOLIZ A41001—f <br />>(-t--.A LL TC a n/ <br />0-7— <br />mperature <br />2 <br />ItWA^1Location rature <br />/ G cra <br />y!� <br />_Food Safety Cardiff Facility Facility H_ot.Water Temperetu[e Warewashing: <br />Name: Ne'Eb Hand Sink:�DO =F hlorine: ppm Heat: of <br />Exp. Date: <br />arewashing Sink: <br />>F uat. Amm.: ppm <br />ther: eF <br />Received By/ Title: <br />EH Specialist: C164uvI.�-��<r�4X0 <br />Phone: �l�i,�56 , 923 <br />ime In: Z( -2, 44A4 <br />Time Out: FA4 Page oIZ, <br />EHD 16-24 (2n0 pg) 4/3113 FOOD PROGRAM OF CONTINUATION <br />