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SAN JOAQUIN COU `Y <br /> t o... ........� <br /> X <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 /> LlFOR. <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ro L-�n a, 1__.v 5 —Fees r; Date: /Z- <br /> Address: y 5 5 5 t�.3 Re rs l-L� ^V-(- City: -�o CK-to -I Zip Code: "16 7 <br /> Owner/Operatcr: c� r_, X �� b �— ��� Telephone: 4 4_b3 <br /> Program Element: ` (0 OO Program Record: CO $4 O Z Inspection Type: CO �� <br /> r9_180-P--sted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> - <br /> 0BSE,RVAT10NS AND CORRECTIVE ACTaONS <br /> _Fqt c t l t' 'rt -u s i - c, p$ L.o -c_,2_ -r-a u Luo <br /> LAJ v-bh A��4 rS O C-d.e r P.s+-•-n 4��,-a-�_ ►7 o 4- w ask,_k .c -- <br /> LL J <br /> ---'at�'�/� it .__._._'"f-�!-S��5--=—�,_CON►.,�l..a�.rrF' Y'C GPS: ,�`-cp� i� Zy � f`I <br /> 0►Ce_ 40 A-.�.04-Yq Ou!'VLt"►r C1 YLA Ca-:5 Yt -C-r Y'-e-CGt r d4 ri <br /> GD►mob �-�rt+ �'L-e a�1�1 _ ✓t cn - <br /> CA <br /> Y - t,U► r 51-1 -��1 -1-�� awl -e v�-�G�Y� c r t� <br /> T2-.o e / rl n Gar 5 y u v� t v Lh alp <br /> t �2^'t S O►� fJ1 P_ S CSL o g,C. 'C A l� i; --h e �'� -� '' <br /> l <br /> w LPA5 <br /> a c1 n L t✓ rcLL.Fi c-f-3 N O A--- - —- _ ' <br /> P d <br /> Item/Location j Temperature Item?Location ,{ Temperature <br /> Food Safety certification - Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink. of [Chdorine. ppm Heat: of <br /> Exp.Date: arewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> YA AQ /'501410'40 <br /> EH Specialist: of J� I Phone: 6�)j5 + <br /> Time in: ',5 Time Out: _ Page of <br /> END 16-24 (2^^pg) 4013 FOOD PROGRAM OR CONTINUATION <br />