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SAN JOAQUIN COUNTro' <br /> 1•�pA� <br /> ?< ENVIRONMENTAL HEALTH DEPARTMENT <br /> a: :< <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> .._ a Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> 4�1pd.Ay' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: •Z n0 s Date: Q —do4 - <br /> ddress: City: Zip Code: <br /> i <br /> wner/Operator: Telephone: <br /> Program Element: Program Record: gg r'7./ (y Inspection Type: <br /> 8180 Posted Yes 0 No Permit Posted Yes LiNloo Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> :sjaor soyjjwcc4 Fri d `s r low <br /> cl e <br /> S-QAucef v) g <br /> -o cJ <br /> R s4ra-o r For k I eco 4 ct— <br /> h e-f lied <br /> k K — <br /> /G <br /> meti 3k- (/K z er t D <br /> h L O <br /> " to Location °Temperature Item Location -,•.?emperature Item/Locatioru <br /> �r ... _o_ 60' <br /> • 0' — 9=r . o <br /> Safety Caine cation Facility Mot Water Temperature � LC <br /> r Warewashi4.. _.Name: a.ra Hand Sink: O tyoforine: ppm Heat: DF <br /> Exp.Date: _ Warewashing Sink: /3.r eF Ouat.Amm.: 3�0 ppm Other: =F <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in:/: 30 n Time Out: Pagejof <br /> EHD 16-24 (2n Pq) 1112JO9 Y FOOD PROGRAM OIR CONTINUATION <br />