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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.sigov.org/ehd <br />FO OD PROGRAM OFFICIAL INSPECTION REPORT, <br />-g \1.1c /.,..7ne7(S-71 teipe 1,0M Name of Facility: 0.40S- <br />71 <br /> rif73 (../8/V/ Date:// <br />Address: / 3-7 te gr, , -7---a,..--nejz_ al, City: Lo i <br />/ Zip Code: s y 0 <br />Owner/Operator: 0-114r) CaS71-DC-' Telephone: <br />Program Element: k 33 41 3 ,q,.___? Inspection Type:Rtlu h r Le., <br />Yes SB180 Posted No <br />? Program Record: <br />res <br />tS <br />Permit Posted Y <br />, <br />No Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />a n40 V C accce, <br />n 0 <br />(0/ '4) Ic(eKlAt 7)-oz)-\4 ve,wvuo-- coyA/e,& pouno— cc,t <br /> Item/Location Temperature Item / Location Temperature <br />(9-otooP_ <br /> <br />- <br />Food Safety Certifier tion Food Facility Hot Water Temperature Warewashing <br />Name: cq yin CO cc—M Hand Sink: / , 0 F Chlorine: ppm Heat: . <br />Exp. Date: /0 / VD. tio Warewashing Sink: 1 e;__O 0 Quat. Amm.: ppm Other: . <br />Received By / Title: T,Z,_ <br />EH Specialist: iill hilitit 1-6 6 <br />(602...„.---- Phone: aoq of (0 ,,..._ 30 yo <br />Time in: Time Out: Page 1 of <br />EHD 16-24 (2"d pg) 4/3/13 <br /> FOOD PROGRAM OIR CONTINUATION