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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> gid....... .; a Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.s4gov.org/ehd <br /> ��FOA <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: R.�IC"R p Ct7,4 G-r Date: <br /> Address: 8Z5 Z / rrr� City: -R _ zipcode: S 37y <br /> Owner/Operator: C�t�. . . .,T, Telephone: y/5 , <br /> Program Element: /t,C) Program Record: Sj?(�n 570 3 Inspection Type:/04ft/�,/ff�R• <br /> 6180 Posted Yes ❑ No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> (10 NO NGu9-50 4#A;D6r' r AJ 141 " O&W sr mut al� r M. <br /> Z �A7zl?a�MS IAC-T AP�e2 !S w p <br /> EXT a rW /law 11,15 A CAR &nLAV <br /> lu-lml- U/DE 09 &&Lcab Covigx2f 6,9RD r " <br /> t" <br /> wr 4) ! r$OK ! /9 "T- L.IEd 7cpwYVH ND <br /> !41 mtas Cl 8MR59UJ' /Af'wdr <br /> J'1f'f5 av � I,AN K <br /> item/Location TemperatureItem!Location Temperature Item/Location Temperature <br /> _ _ I <br /> Food Safety Certification Fatality Hot Water Temperahre Warewashing <br /> Name: Hand Sink: r ofChlorine: ppm Heat: oR <br /> Exp.Date: arewashing Sink: <F uat.Amm.: ppm Other: of <br /> [E11H <br /> eceived By/Title: <br /> Specialist: - - — Phone: V <br /> me in: 9.•v / r <br /> Time Out: . 0 Page of <br /> / <br /> EHD 1623(2 0 pg) 11/06/08 FOOD OR CONTINUATION <br />