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SAN JOAQUIN COU 'Y <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> L�PORt� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: __ ll ✓ r'/Yt-d5 TQ ���, Date: / _ <br /> Address: p 2_ City: Zip Code: <br /> Owner/Operator: Tele hone: <br /> A-n u.Co' - Su a a L p (4 7 C-1 —d g <br /> Program Element: o Progr6M Record: �bDO I Inspection Type: <br /> �Ouri <br /> SB180 Posted Yes No Per Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> _FA'1 b s.e r'�/� L.0OL Qirv��., o!-,-CA_ r-e_ - 44,1,1 n c �a o c1 <br /> Lj <br /> u.-k n s s KO w as ro <br /> - , d )L� +v PGO A-0 Y DI)-LA C-14-54)1 Cr— Y OC r n <br /> lc�ir> + L4-,)YL-Q.►'S r, H_ c 4'' L <br /> 1 0� S L C 40&t-r'rs S1->_cc LC Vto <br /> k_­>+ 4 )�t, --It, r i r»b'� 4 <br /> C ✓1 3'.4z>YAG r,�, - <br /> 27tL u4t I 12a L_ _ 6,-, W --9* i- I n <br /> el rLA-H1-e_A —� qac-�-r a,4- — <br /> 66t nL.,�+Z'� cc, c_LQ-,t r-) <br /> ®r►'--� " c h 4 � <br /> VA D S I n e1 5 G Lo V-e- <br /> Item/Location Temperature item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: F [Chlorine: qp_ eat: F <br /> Exp.Date: Warewashing Sink: of at. Amm.: Other: F <br /> Received By/Title: <br /> Phone: <br /> EH Specialist: Cq 5 <br /> Time Out: + r Page of <br /> ime in: L l� <br /> I D FOOD PROGRAM OIR CONTINUATION <br /> EHD 16-24 (2nd pg) 4/3/13 <br />