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SAN JOAQUIN COUN1 p <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sj ocovv.org/ehd <br /> bib <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: GO Date: q a Y-4oZ <br /> ddress: $ 8 / _ <br /> 1 City: Zip Code: <br /> Owner/Operator: i�-��D� Telephone: _ <br /> Program Element: --163-2- Program Record: n� D/&O Inspection Type: '7 <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: 7 � <br /> IL <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> A Irl La rua 1%� Ki, p ot v-e d + (lit O <br /> CJ- • of r r i vc ad LO,' 3 O o . <br /> : !O <br /> Go bw-e br-5 v n 81 r <br /> Y <br /> 10 v C421 92 1, e <br /> IJ <br /> Item/Location Temperature Item/Location Temperature Item I Location Temperature <br /> 4 t`F esco r A70+ 00 ld�►l u Q'F {eco r l f Olde ►' i57 <br /> L_%orn &-co 13`1 F 7 12izza— /L(6 F <br /> h i c4ri ri 4L e— I L4 4 F olc3v0 Ya�IsP'1 38 <br /> Food 34feG Certification Facility Hot Water Temperature arewashing <br /> Name: e� Hand Sink: f a I ofd ppm Heat: of <br /> Exp.Da e: _I, ar ashing,Sink: /L16 of at.Amm.: �� ppm Other: of <br /> Received By/Title: <br /> EH Specialist - Phone: 53' 817 <br /> Time in: Time Out: "16I ' r1 Pageyf <br /> r V <br /> EHD 1624(2nd pg) 419112 FOOD PROGRAM OIR CONTINUATION <br />