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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.sigov.org/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: CA B A /L.O /49AT A4 A rLi<&-7- Date: 2 —1-23 <br />Address: City: Zip Code: <br />Owner/Operator: Telephone: <br />Program Element: Program Record: Inspection Type: <br />6180 Posted ❑ Y 0 Rermit Posted cfr5UI Re -Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />,TOR. ✓/v -rloAl RoAxecrCb O/V $T8. <br />.Cts !N c W nJTq 1" 6,0l TO 7DAr W /rf!//✓ UM 2YD eAl <br />Ver wir ,erKov/Ls. Di.scu of .4vroa. <br />CO Ec rF <br />t!1 !nI S T / Z45A_ KZV7-A00 Aj Mpfb S v <br />AXIVA SO OQ P ItV 112 <br />AA/1V 4✓/4 G S Y 7z Ipw P— <br />yO ✓ud&ov;pkepd ammq 86,qA0. <br />� Ccv i V t N <br />f CR 91 <br />o c <br />i fWIAJ 7 dW <br />' L C <br />I63 /lt TS V /Z E/L, O V <br />ItemlLocation a Temperature Item t Location Temperature <br />01154 7-- CA37 F <br />wh�K i>✓ c�o� � I -- - <br />Food Safety Certification Facility Hot Water Temperature �'', Warewasbing <br />Name: srmwo p�� � ,Hand Sink: � t_Z of (Chlorine: ppm Heat of <br />Exp. Date: 5 _,. Z V 6-r ashing Sinkk1W -F uat. Anni ppm Cher: ,F <br />[EH <br />eceived By I Title: <br />Specialist:l A u b I M U Phone: -2-09-561 — 89 Z 3 <br />ime in: 4.00 w / , Time Out: ` �W <br />/'� r"f Z, : � Page of <br />EHD 16-24 (2'" pg) 4013 POOD PROGRAM OR CONTINUATION <br />