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aP4 °°c SAN JOAQUIN COUNTY <br /> s ENVIRONMENTAL HEALTH DEPARTMENT <br /> - 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • C,�`1poQa�P• Telephone:(209) 468-3420 Far:(209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 7_77Z 1-1"FDate: 3/I t <br /> Address: �/:�.� City: Zip Code: <br /> Owner/Operator: 'Tl m \2A'QA Telephone: G)Q_tZ � <br /> Program Element: !,0070 Program Record:F P&v)0(13W T <br /> Inspection Type: -c"00I-11 <br /> CIW , <br /> S8180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS ANICORRECTIVE ACTIONS <br /> (OVA1CAMN iZ.1Ae=_> CA-k- SM ►At U <br /> Ma .Y mACAe �M% `I <br /> 5 S-h2U CAV Um 1v 11 Ce-I l' <br /> �tvt 4 n 0 l V"_ <br /> - 140 Q Le CA__F-1 U 'rh 1 S tilY1 Q <br /> - i 1 h,e -tv IPZ w <br /> 1 n n \(Z CA NO" _5 4-P-r^ - <br /> -v&16q CA 1c)od 4e+A <br /> G 1 t <br /> v0\1 e c,\ vn-h 1 6 ' -tin ¢vN <br /> C Une , <br /> 1 n,�, tv -rhe GR :', ' : �� The rens <br /> Item/Location Temperature Item/Location Temperature <br /> i <br /> Food Safety Certification Facility Hot water Temperature Warewashing <br /> Name: Hand Sink: °F ;Chlorine: ppm Heat: 'F <br /> Exp.Date: Warewashing Sink: °F Ouat. Amm.: PPM Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: C _ <br /> Timein:. I( Time Out: (1 : Page of <br /> EHD1624 (Vpg) 4/3(13 O FOOD PROGRAM OR COWINUATION <br />