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SAN JOAQUIN COU1 <br /> a ENVIRONMENTAL HEALTH DEPARTMENT <br /> �: . X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . �., F„ ;v'• Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.slaov.or Ig ehd <br /> �r�oR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: % C 7 (d G r Me rs Q1 0 Date: 2 2_ 1 <br /> G n { 11 S �' City: I r`a C Zip Code: q S 3 74 <br /> Address: i <br /> Owner/Operator: C G! 10:5 p N Ir FA Telephone: r!�_ g 2 Y <br /> 1� Z <br /> Program Element: I Program Record: U$ 2 r I Inspection Type: �f aU C <br /> SB180 Posted Yes - No Permit Posted C Yes '- No Re-Inspection on or After: <br /> $SER11AMONS AT40 CORREC.IVE AGT,IC?N ... <br /> G r (ani 1- 2ao h <br /> rU+/: Ae WGrolv) CA ' r hats, - W05A [arrrd nvrJ u1a,K <br /> ?rGy� <br /> 1/9. pG rrf0-- - Sly /C S oG �/1 a_/lU fir. ll�. Y�IU12�5 aj(,'rCj- Jcc/G7 <br /> 01 C, �i Oh 5 <br /> Z c, �� Obi o FG r»s .n1� J d <br /> e C u a <br /> Lu5 14 e rrn CC rid r G V., ol o1 io <br /> I to ✓; rIC bvc Ile on I'17ly%r, <br /> LA r )-C4M rerf Q tC ha r t� O 1 <br /> L a -n.5 Al o y; [Jr0j ;ah.5 - <br /> `T r ik 5 [: , <br /> 13. _CL1_"_r 1 f tV d V , u 1 a j ' - <br /> :�s�_„_ <br /> C C1 0r d 5CP 5 <br /> dec od rc OTT 4 r Ef A '. <br /> e po) � u v'uIa i <br /> G+1 CA r <br /> �► S G n a p, - IV CI V ' <br /> L cl Uri 3iv, A/ U V ;e j a Iieg, <br /> l eir Location dem era areaetnperaturd. <br /> o d safety�C i c taQrr, Eat ihty:Hpt waLerTexnperatuke. Warewast♦rFj <br /> Name: Hand Sink: ofChlorine: ppmHeat: -F <br /> M1 <br /> Exp.Date: arewashing Sink: -F Quat.Amm.: ppm Other: of <br /> Received By I Title: <br /> i <br /> EH Specialist: � - - Phone: <br /> Time in: 71 <br /> Time Out: Pagel of <br /> EHE 38-24 (2'1 pg) 413113 FOOD PROGRAM OR CONTINUATEON <br />