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SAN JOAQUIN COUI <br /> H: X <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> LlFOA <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: mo n i5 '{'"rYt-O rl+ J_.�Y1 Y1 Date: a <br /> Address: T_-e !z1'0r + + ' City: 6+0 tON Zip Code: 015 2©3 <br /> Owner/Operator: %__j <br /> TT�� �rc-;Va Telephone: 4463-3 RZ-7 <br /> Program Element: 1('02:5 Program Record: P R I 4_7 <br /> Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE AG3'tONS <br /> pu <br /> ._.. ._ C_s Sysr <br /> r- Lrt Lal . C-6--u <br /> / l�U t� �� CIX d <br /> Item/Location Temperature Item/Location i Temperature <br /> ,5Dv rrclar IS© <br /> -- - - - - <br /> �z� o S�fet 1 rtrf tion a ,' =:°fact!) y}IatlNater Temperature _ Warewashing <br /> Name. / ZYL/t�R and Sink. 'F lor►nl4J�ds�r5 d ppm H at: 1 � F <br /> Exp.Date: / ar as i Sink: 0—F Will To pm n ,�L Ja/ °F <br /> Received By/Title: <br /> EH Specialist:__Ti� 16 Phone: <br /> 53 <br /> Time in: A f O 5 Time Out: :2-1113s— <br /> /, PagG2f <br /> GHD 16-24 (2' pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION' <br />