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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> ..�gt�FORap. Telephone:(209)468-3420 Fax:{209)464-0138 Web:www.sjgov.org/ehd <br /> } <br /> FOOD/PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: +'7 r Date: -J f- Q_ <br /> Address: c/Jr5 } e rS 1_I n City: �-/ _ Zip Code: 5-.2-0Owner/Operator: /I M-e ll r -T-17 <br /> � G Telephone: 4-173-3-2--F <br /> �7 3_3�-F / <br /> .51 <br /> 4 Program /&o0 rogram Record: �ooa 5 Inspection Type: <br /> Element: '"r �rn <br /> SBI 80 Posted ElYes ElNo Permit Posted C1Yes © No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> ✓i -�7 -/ Go rn L 'n .-� o u r G <br /> io i�-rile r qnd o our zn fo lass c h J t"*i dri <br /> I s nd /,a a cov / <br /> a l h <br /> s ' he pq s-f <br /> 6-i7la!5se!5, ta c4lre.d 0 vi 4o a a e 0-the r12.0-IcV r <br /> u -e_ .e U �s wcr -tom 14 s 4s cor;7mi <br /> ' :fro <br /> a, d )GL •.. n r �c'u-�Y,6 s cOYLc� L J a,_ r0 • - a weer-e- <br /> rr <br /> 1 f�- }' Yit'�CrJ'►'� ' e tS r tJ Gt 1' <br /> c:a n r o - w Leh ► l <br /> i mo Cle- 61 k cr j'r, roc c _� ( Lel s.-S - <br /> c' a-z-v-S ra.C_ <br /> La_5 -e r­ec-� r✓1-) c.cJ a-Zi5'-i 1-? . r) U r J7 <br /> r�G1'ac L.S L1'Y] j7't Cl Gl - i L cF <br /> Item/Location T&6 erature it66/Location _ Temperature , Item I Location Temperature. <br /> f --------- <br /> V7IV <br /> tYlh r� <br /> a <br /> Food Safety Certification Facility blot Water Temperature o Y WareWashmg <br /> r7l.. <br /> (']�'PSfG�'� Hand Sink: F Chlorine: ppm Heat: of <br /> Exp.Date: _ _ ' 1 arewashing Sink: of Quat.Amm.: ppm Other: 'F <br /> { Received By I Title: <br /> Eli Specialist: / % / 1 Phone: <br /> Time in: D CJ ` f Time Out: - U Page of J <br /> EHD 16-24 (2ndpg) 1/16112 FOOD PROGRAM OR CONTINUATION <br /> i� <br /> i <br />