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0.. .coc SAN JOAQUIN COUN—t <br /> r. y ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . ... v .4 Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sagov.org/ehd <br /> 4tlFp R� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: C- QP CU[ll Date: to 1?� <br /> Address: 3q 19 -c- � Cpm �C� City: �lUf► tCA Zip Code: q <br /> Owner/Operator: CunadlA C-CVQ LLC Telephone: 9 - _ 19)4A <br /> Program Element: 0011� Program Record: CC G Inspection Type: L0mPI611 n+ <br /> SB18O Posted -]Yes U No Permit Posted 7 Yes G No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> CMMAin} r'tA -es - Cots m tc'w off- StZ)Te t Pru Ern to yes +ee6j <br /> the (CAK inside Tr'e ('tme tvo . <br /> psc nG ob•se�rvc C1h CGt t��St � Sla�2 C c�.tts �C The <br /> �tCi li <br /> pn pcA4,Qe c tcws cnt,, cto cine fctc,r; hUfi lix <br /> Q Ce cu.t-SA c e' at cltl -h meS . <br /> ptd 'hod dk?_W 4Z ren CCA-i- inS,ICk_ c-C CAufisic e <br /> Fac;1; <br /> all an-k 1a1S Gov+- Of ` nz -Vacs '-"rT .{L✓ eC; wore" -r <br /> Item/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Ouat.Amm.: ppm Other: of <br /> Received By 1 Title: _ ^�'R <br /> EH Specialist: Phone: <br /> Time in: 10• 2-Q Time Out: to :�� Page `of <br /> EHD I6-24 (2' pg) 413153 L FOOD PROGRAM OIR CONTINUATION <br />