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• <br /> <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT kci - <br />Name of Facility: : ) C - --. ( - '\.- C.. <br />Date. 2 -1 -2 .3 <br />Address: City: Zip Code: <br />Owner/Operator: Telephone: <br />Program Element: ) i \ k),..IP .rp,gram Record: .....)--s a z.6„ 1 / -, 1 -‘.- .0 _ 0 Inspection Type: pc)k, ...A.:‘,. r_e i <br />SB180 Posted Yes No I Permit Posted Yes No Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />t\-&)'--- )-••( '`---S \-e <br />Pt \C\ V.\+ 0 S"\ <br />E e 'Nf.'& Av.\-e.- -F. -\----cee -L,-1 (C) <br />(A...k..4-.3 7S-C \--J \-\\Q.,- (. <br />c ., ?.... <br />.3 .- „A <br /> <br /> c..-? - ......„:\ <br />__._ 0 /A Ctk3b4,,i <br />V-__(- 'f•-\,-,-<4 .-. ‘ <br />OC\c;,(- 1c (..3 i\A cNc_ <br />f\cf-prN Cn‘ 7> 1/4.A.) <br />S Q Qse-- \-- <br />fr.. r) (-,--,1-- • , c„_d_c:, <br />., <br />.--)er _ (..")(1 <br />ItemlLocation Temperature Item / Location Temperature <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name: Hand Sink: °F Chlorine: ppm Heat: °F <br />Exp. Date: Warewashing Sink: . Quat. Amm.: ppm Other: . <br />Received By / Title: <br />EH Specialist: <br />0"-Ck._:, , (1) (,_-- c•,- ke-\ ek..----9-2 <br />Phone: <br />Time in: Time Out: Pagec.of <br />....D <br />EHD 16-24 (2nd pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION