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at�Wry. 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.sogov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: S 3 Cc C.r M G r 3 � Date: <br /> Address: I()Lr, City: Tri t Zip Code: S 3 7 6 <br /> wnerlOperator: Telephone: <br /> Program Element: Program Record: Inspection Type: 1..,e <br /> 8180 Posted C Yes D No Permit Posted ❑Yes C No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> '•� S ,71G S �+r G n i + ZPr. f C.CJ t,n <br /> 1 rcW . urs a jr Sic. , n I r�Oe <br /> LA r h Qr i to YCr/C4 . <br /> ric hP5 0df 4 1,v ccerarj <br /> C I I i Ile C QUO ,SOM 1P U U d104 , <br /> Item/Location Temperature Item l Location I Temperature Item f Location Temperature <br /> I <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: _ 'F Chlorine; ppm heat: 'F <br /> Exp.Date: arewashing Sink: of Quat.Amm.: ppm that: 'F <br /> Received By 1 Title: 1 <br /> EH Specialist: Phone: <br /> ime in: Time Out: t7 Page of z <br /> EHD 16-24 (2n1 pg) 1112109 FOOD PROGRAM OR CONTINUATION <br />