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° .moo SAN JOAQUIN COUWY <br /> + ENVIRONMENTAL HEALTH DEPARTMENT <br /> W: :< <br /> i! 600 East Main Street, Stockton, CA 95202-3029 <br /> • �•. f li Telephone:(209)468-3420 Fax.(209)464-0138 Web:www.siqov.o[g/ehd <br /> n <br /> �04� a <br /> i <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> [Program <br /> ame of Facility: G' r 4 i! Date:F n ddress: eiii I 5 City: TIZip Code:wner/Operator: Co ar/Y ens ?'1 4 A55 pit Telephone: <br /> Element: it! Program Record: � y ii Inspection Type: U0 � ILL <br /> B180 Posted ❑Yes ❑ No Permit Posted ❑Yes ❑ No 1 Re-`nspection on or After: <br /> #` <br /> f�BSERVAT10 !S'4 SDI f ECT1Vl ACTIONS r ;... <br /> �s w <br /> J .i <br /> i 1c �rGt7s II <br /> 4 49 riloc <br /> AIW11 1:1 V Gn <br /> V 5 cl W.. 1 41 r jil j 4 L to <br /> IVB+ U ,I <br /> J , <br /> C 'i 01 <br /> VF <br /> f� A-- <br /> -,7777— <br /> X'& IriIJt? <br /> � e <br /> { i+r fjfj C I <br /> + k <br /> '".fiem/Locat�on�=n.-° ,,;Tem �i`ature ; . �ltern/Local�o " Te►�t nature "' f� Stem Location Tem ratuie <br /> 77 <br /> �. Pe <br /> Food Saf til CertrFicatinn s� 'Facilely Hat Water_Tempecature _ �Y <br /> «-..- .»"_. .., a.3,.. <br /> Name: ;x Hand Sink: of Chlorine: �j ppm Heat: of <br /> Exp.Date: ii arewashing Sink: -F Quat.Amrh.: ppm ther: -F <br /> Received By 1 Title: it <br /> EH Specialist: Phone: �j p <br /> Time in: Time Out: j;. Page of <br /> EHD 16-24 (2nd pg) 11009 FOOD PROGRAM OIR CONTINUATION <br />