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0?41'" SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> �;.. ;P• Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.s4gov.orq/ehd <br /> �%FOFRti <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: e �'s Date: <br /> Address: City: Zip Code: Z O <br /> .? 3 O W lemon S '- S4,p .S <br /> Owner/Operator: Pe(Gi d0.-1 Telephone: 3 G0 <br /> Program Element: 16. 0 <br /> 6, 0 Program Record: 5 p SC 4s- <br /> Inspection Type:�,�� �n <br /> SB180 Posted C Yes !- No Permit Posted C Yes S No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> MR <br /> 'S L %SSCr[.2 Q J�► RPS a-HG. /3 <br /> Co c><e S - <br /> a rz- dF <br /> CO <br /> v�o S i r) K l� D <br /> ro W a -'e- R -o <br /> Item/Location I Temperature Item/Location Tempest Temperature <br /> Food Safety Certification Facility Not Water Temperature Warewashing <br /> Name: Hand Sink: �6r,7f of Chl r ppm Heat: OF <br /> Exp.Date: Warewashing Sink: OF Quat.Amm.: ppm Other: OF <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: , 30 <br /> Time Out: O , l� Page of <br /> EHD 16-24(2^ pg) 11/2109 / FOOD PROGRAM OR CONTINUA ION <br />