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rIlk <br /> SAN JOAQUIN COUNTY <br /> X ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(249) 466-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> treou <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: a _ttIJQ Date: Lf- <br /> r r r <br /> Address: •�� 2 ep"0 In <br /> �,1 City: � ' Zip Code: � �L,2__ <br /> Owner/Operator; Itl I <br /> Telephone: <br /> Program Element: 1 Program Record: C© c)c).3 (0 -2--79 <br /> (02- 79- Inspection Type: <br /> I I 1 � cti K <br /> BII 0 Posted D Yes ❑ No Permit Posted E Yes ❑ No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> _ 9 kXj cz'A r a Ga�'! .r' ,F o��5 A eC c�) <br /> reTsAr-pleci ' I -�o -aw pC�S �c t,��6 [f HV-2- <br /> 1 <br /> ca+-'ca •� �lti[ CJ�tC=ice c 'Cl r r`c r'` <br /> aCc Olid- Iri a I/t rCA yCS;r r W C tYc P r v e- LeL �i+, - ,I j A n <br /> �rc� �-��� c. � ���v� ✓nu �d�. � �.�{�,, / t.�►�Sh �t G'1,c� S r:, G + <br /> TA <br /> G [� Clr �1nC1 vl h L' ���• � ISS �r\�T f'YF�i C C'•i'�'7 �ft'L a it ��✓�t d.`3:. <br /> pp vv � <br /> - <br /> T�tsZ r -pr �� <br /> 5Q 4 <br /> Tfp em K c: I*,- C cam^NX6'. ' r Q r<z <br /> l <br /> u e' CL.-q- c..LS� �4f+ ( t_A. « rtid4 r, Ci.r vl._[' <br /> ItemfLocation Temperature Item 1 Location 'Temperature Item!Location Temperature <br /> Food Safety Certification _ Facility hot Water Temperature Warewashing <br /> Name: Hand Sink: 'F Chlorine: ppm Heat: 'F <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By Title: f <br /> I <br /> EH Specialist: 1 y. . Phone: ��c�l_-14/Y ^ <br /> Time in: ; Time Out: r z C-:) Page/of , <br /> EHD 16-24 (2'd pg) 419112 FOOD PROGRAM OIR CONTINUATION <br />