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oe.4 I" Nft/ SAN JOAQUIN COUN.,! <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> c'cicoa p Telephone:(209) 468-3420 Fax.(209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: 65_i7 �,� City: f Zip Code: <br /> caner/Operator: �C. 5 U Telephone: <br /> Program Element: Program Record: t Inspection Type: r��OL <br /> B180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND COR <br /> 213115 <br /> r GS — — /2& S/ <br /> b / <br /> - 7 <br /> n r tl r• 4,0 r <br /> ql n or r o <br /> aCke rK r 'cc els coo Ke acK Lr' h <br /> v - <br /> away <br /> 0,116 .X-4 n o C-4497107 <br /> 2 GS0 r <br /> Q Gc1 G ss 44 <br /> e, G L <br /> i w r cup' kwaf <br /> ;mperature` '" <br /> eo !er 3Lrr- Zcl x'✓ a'-c'W(e✓ oic <br /> 2 /t X8 Mi -- <br /> • <br /> Facility Hot Water Temperatu Warewashi. <br /> Name: Hand Sink: of Marine: PpmHeat: 'F <br /> Exp.Date: Warewashing Sink: of uat.Amm.: Ppm Other: 'F <br /> Received By/Title: - /' <br /> EH Specialist: Phone: <br /> Time in: 1 Time Out: •e fG Page of <br /> EHD 16-24 (2n Pg) 11/2/09 `/ FOOD PROGRAM OIR CONTINUATION <br /> Vroo" 'c(.& -For bar e- blue f w ,W, Sart- 7i4er -For r2 eAAj,' <br /> 1N( �Oodd SerU-icc �er>Lp �-oyQts :5haa hotve card d / rn Hyl <br />