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"`ku� <br /> `" SAN .10AQUIN COU. <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> ��KORa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: J�rt-. 4-t r Date: <br /> Address: oto 1 r ; i b r City: 6+z) c-4L-t-0 rl zip Code: <br /> Owner/Operator: d Y-) ,0— + Telephone: y t'v O-sa of <br /> Program Element: 1(02(p Progr m Record: P(2- O 5 Z g 2-35 Inspection Type: yy <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS'AND CORRECTIVE;Ag"S e� <br /> O --` ^—'K'S---"�Zv o <a-r-e, aAb5a�r 6-r-rt l Cao <br /> .. .......... -- ---- Y� S'�of 1.¢�I Ltrn �-n-IC_d�t'�.� 1�-c ----- --_.............._._..........._............-- -- <br /> _1!t—W- `- ._-..__.. '�':.Y 5........_... _�.. . —��—F ----`.\ n-0— ..._...... _ _._._vim 1,-e-`j i <br /> 1 <br /> S--e-a Leo( Ce> tM-Z - — <br /> r <br /> co rr <br /> T <br /> Item/Location Temperature , !tem Location ,d Terhperature <br /> _.r ._.._ �. <br /> a, 7L- 277Y <br /> S <br /> r acii Hot W ter em rature " . <br /> Food Safetyerrfitton ry dY a lAi'aretnrastnng <br /> Name: ie ( r r Hand Sink: of Chlorine: ppm Heat: bC� of <br /> Exp.Date: ,_ 5 _ arewashing Sink: of Quat.Amm.: PPM O er: of <br /> Received By/Title: 75 <br /> EH Specialist: Qom` ) Phone: �S3 —1) <br /> Time in: 01 Time Out: '��� Page of <br /> EHD 16-24 (2n1 pg) 4013 FOOD PROGRAM OR CONTINUATION <br />