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OgAUIN NW-11 SAN JOAQUIN COUNTY <br /> ?� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.siaov.org/ehd <br /> rC/FAM1� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: J Date: 3-/8-Co <br /> Address: / Ga.7 61piliI A)4 City: Zip Code: ?T374 <br /> ner/Operator. r�-M k5� Telephone: ��6� <br /> Program Element: 16 JZ Program Record: ��`�S7 Inspection T pe: 4 Mrr <br /> 6180 Posted Yes ❑ No Permit Posted K Yes ❑ No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> IAutToE Srvk /c`MKS *7- 7-W KAx'>8S E rRTo 5� 19" bRrPS <br /> Item!6ocation Temperature Mem/Location Temperature <br /> CJI <br /> MrcR�t,tP, i3Eu�+R 3�-- -uRl�tTbS -.Sc°QU/�s <br /> 72uE I ASR 38 - <br /> FoodSaletyCeRification - —� Facility Hot Waaar Temperature WarawashIng <br /> Name: p ---111,Hand Sink: Q of Chlorine: ppm Heat: -F <br /> xp.Date: ,j1 arewashing Sink: Z3 of Quat.Amm.: (+�D ppm Other: of <br /> ESpecia�ljst: <br /> rtle: <br /> Phone: 5/(,8.3fc(7 <br /> Time Out: It- x> Pagr�oit <br /> FOOD PROGRAM OIR CONTINUATION <br /> EHD 1623(2'pg) 07/29/09 <br />