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V SAN JOAQUIN COUNT <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ 1868 East Hazelton Avenue, Stockton, CA 96205-6232 <br /> �•.. `�.. Telephone: (209) 468-3420 Fax:(209)464-0138 Web:www.siqov.org/ehd <br /> 4Gj F'UR�a <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: S LC r !�p r M 4" j In el l i I a 1Jn /��.� T/. r Date: S--l-7-)9 <br /> Zip Address: �- Sl City: ru r p Code: S� <br /> Owner/Operator: Telephone: <br /> Ccr10S <br /> Program Element: 6 V2- Program Record: SO S 2-,y 1 Inspection Type: R G P <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> 08SERVATIONS AND CORRECTIVE ACTIONS <br /> Toi t o IY1ttf SGr1:r�;Zer. 10o_ .�Ch-t-or.n"g <br /> -- - all '•' Vd°u - Ccny � � r% VLnL<<r J �?I OVlr hen/ _Ccrr.. �r��, <br /> 3 — f O V� a�1; W c71 r lY� W p i t r-- - CA A h Q GS h •� f� �_ OA G Y <br /> (Crr,- F -Jc <br /> --���t.i GIS -ly� rt 10 i►_1��P3 0 �h� �ocr, c cY• <br /> _ F rd V da u S4xfe c% <br /> S [,,v-. d� CU14; u g {r,n : � . 'urreC loe/c <br /> 6 D.10 na.I E04 _.._ An Ctin iP,— I Cc J, <br /> LfA f G nas C-G fr,A.(t - 0p —U �i+Gt� : GnJ _ --- <br /> Tc1 Ksu� L GvArll �}f n:5 ( A fle, <br /> Sin d V� Gfp <br /> k 12 000,0 - <br /> I / <br /> 0.� Pyr.,; do W oirm Ertl I P.'. _ -.�U rn e 5,40 5Sq CCrrrr.1 -(C'd C y - <br /> 11411 <br /> fes-- Chu )J uIry Qrlj - - <br /> To I o PwPzrV)o:1( - �U V , o104.CJ ws - — <br /> ---- <br /> Ge% CAfM sol1; I ;ZCr- t � �G�9f11 f �1 �Gr:nC - <br /> 1 r4". �Q- W rAr/r L,3 CA IPr Cs 1 hr.0 4_- LA)03h S4c'1:cn. Ccrrrr4 jCA <br /> lten*dLocatiudTemperature ItemI 4 Location J. Temperature <br /> Food Safety Certificatioo Facitity,Hut Wo( er Temperature Warewashin <br /> _. <br /> Name: Hand Sink: of Chlorine: ppm Heat: aF <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By!Title: <br /> EH Specialist: 09 Phone: L. JA y <br /> Time in: Sr 0 Time Out: -S 4 Page of <br /> EHD 16-24 (21d pq) 41,T13 FOOD PROGRAM OIR CONTINUATION <br />