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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.orq/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: 0-0 S- g" r et) to 01 C_, <br />P 41ess: 00 A‘f City: Zip CDoadell Addr <br /> P 13c <br />Owner/Operator: Telephone: <br />Program Element: Program Record: n)406 1,ft, t Lto6 Inspection Type: kvirr y Nr . <br />SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />/14 ot725 , /// 0 LA-77i a .5 <br />:-p <br />f 194d0Fp.. frasd--- 7-op /4ye) ...-ri <br />'t4 L 5 9 /1 c /A / An t-- alr N dq -- A 7'11- /1-/irri 4 <br />lie , 0. Asir -1.7..' e <br />, AP <br />iP.. l'641 ,.-APP-, - <br />/ <br />' A.# - <br />' ?V / 1 44 C <br />. .. A t9 t\/P alig, S4i— Pt) i--1-4i--- ,-5c)ist-f? P ' <br />A tP it e'-eL ----)--v-u.,--L3 t40412 t-b-t-- IA/ A-t- - rn - - az _ A-T--- 1007 <br />z.., <br /> <br />1 4 — _..-. • <br />/ r "A , eLw___41 i-V- -/•.'2_-- <br />----4.--0 2-14 S• • OF Z...' Ia. <br />, A/ p 7401 i z__ <br />Item/Location Temperature Item I Location Temperature <br />Food SafetyCertification ° Facility Hot Water Temperature Warewashing <br />Name: Hand Sink: o F Chlorine: ppm Heat: °F <br />Exp. Date: Warewashing Sink: o F Quat. Amm.: ppm Other: °F <br />Received By / Title: r_ 0 • <br />2.1.1° :/. Al i . . 1.L.A!.41'L" <br />EH Specialist: . Phone: 3 9 ,.., / —..):747 45 <br />-41"1—‘rri -o. wl Time in: Time Out: Pa94 of/ <br />EHD 16-24 (2nd pg) 4/3/13 <br /> FOOD PROGRAM OIR CONTINUATION'