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SAN JOAQUIN COUNT'y <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> J. 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sj oar /c�ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ' GO r Date: <br /> 4.1 R a Address: 8/ 8 <br /> p/ 9 / _'i City: Zip Code: <br /> Owner/Operator: o / usp�-�., Telephone: _ 6 <br /> Program Element: �-/b 3 Z Program Record: nP 0/40 O Inspection Type: <br /> SB180 Poste Yes ❑ No Permit Posted Yes' ❑ No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> r -I o► nol12 r a r-e d + MCLa ro <br /> ELI me r,+ot r ILO o C-h-e N of r r i vie CO, 3 O o " 7 <br /> : lo <br /> co bwe u n de vl <br /> ru �� � C.�a•'i �-ZS-1Z - �fi <br /> -1-e V- s <br /> ncrrc; &-)-P Lir 6ch-oo I azLd a,5_7s pe a►-5-) QT - <br /> 10 vs v ra (��Q c� _ <br /> Item/Location Temperature Item/Location.._ __ Temperature Item/Location Temperature <br /> I'Yl I' o� ►. q t°F escv I-tiv+ No kilt 6u Vta•t61 r 157 <br /> L7Gvrn 13`1 Y 7 i zZa-- NOF <br /> 6'l�i cke>-�rI a 1 4 Ltor �dooY��rQ�,tsr� 38� <br /> Food SkeCertification Facility Hot Water Temperature arewashing <br /> Name: er r Hand Sink: I of ppm Heat: of <br /> Exp.Da e: _I- War ashin ink: r Lto 'F at.Amm.: � ppm Other: 'F <br /> 12 <br /> Received By/Title: —CO <br /> EH Specialist: Phone: <br /> Time in: Time Out: 1 'L F1 o Page.,, <br /> EHD 16-24(2ntl pg) 4/9/12 FOOD PROGRAM OR CONTINUATION <br />