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SAN JOAQUIN COUN' <br /> � •.OG <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> - 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sogov.org/ehd <br /> (FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �\ Date: <br /> SS t /d-,3/—/ <br /> �, l hc, ; . ► „� City: rr a, Zip Code: <br /> 9S3,7t <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> S131 80 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> ictal J dor) 4 4S' r 4 A i A fe 4r' : <br /> ILI U) q1 L . CC r 4 1vA <br /> 000 d C lie, lu C k1jn A bow h <br /> V, I I J f.0 d/a <br /> a a: A 14er J. (DSC reci J � 4 <br /> le an <br /> r ; 3 and i to On 4h t� OOr ; .1 W-A -i <br /> r. 610an �a dA <br /> S rr ) h a s LA)m b c., a a � <br /> to en G V C W a >Ir r 10 CIA <br /> Gas 1u ; n 1 c'n C y and 4), lcwch;.• j <br /> bctK into of s <br /> r d 40 Cn 1-o r+7;na4 <br /> L l i•/ C, 7 / <br /> r A u Art u C eWh, a � li,'.r' Self cSPr <br /> I ; S of r n I G 4r a Gorrtrc j lcAk <br /> G v' n IA)01� ;✓? ;II <br /> I <br /> Is <br /> iten It oca&n ' Temperature Item/Location Temperature <br /> SCI 5ervt 3Z' <br /> S c .-e ►NIA c h;tic Syr /)/C '(G <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: a e / r Hand Sink: l p U r 'F Chlorine:,,,". PPM Heat: F <br /> Exp.Date: 3 V Warewashing Sink: of Quat.Amm.: Ppm Other: of <br /> Received By!Title: <br /> EH Specialist: _ Phone: u( ,� 6 <br /> Time in: Time Out: )./ Page of? <br /> EHD 16-24 (2nd pg) 413/13 ! FOOD PROGRAM OIR CONTINUATION <br />