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SAN JOAQUIN COUNTY <br /> Z. ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ 600 East Main Street, Stockton, CA 95202-3029 <br /> cq'�iF� �j�Q'• Telephone:(209) 468-3420 Fax.(209) 464-0138 Web:www.sioov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: / <br /> G Date: V <br /> Address: /'City: [ Zip Code: <br /> caner/Operator: Vu. FF Tr''VV J'YC <br /> I Telephone: _ <br /> Program Element: Program Record: Inspection Type: <br /> 3B180 Posted Yes No Permit Posted ❑Yes ❑ No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> J S " - uek C tt OL ( A <br /> Gfh <br /> _ ✓ LIU hiF,re <br /> r`C 4 f [ du ,fie, A � <br /> All 669 <br /> err YVt 1/ce r vl Q aJa, i <br /> ti d ✓ d P a Jam/ <br /> h <br /> 1a avt <br /> ✓!Ne lH r? GGf�P N /✓/V� <br /> Ilt^e V7 I <br /> u AC <br /> l^� �'GJi�/Pfv�� vlG C Gil' <br /> lel GE: <br /> ._ ocandnperatur`e "Item I Location"'+' Temperature'" Item%Location Temperature <br /> = Food Safety Certification - Facility Hot Water Temperature <br /> Name: — - - and ink: oF. hlorine: ppm Heat: ,F <br /> Exp.Date: arewashing Sink: of Ouat.Amm.: PPM ther: ,F <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> ime in: .. Time Out: Pa a i6f <br /> 9 <br /> EHD 16-24 (2d pg) 11/2109 ` FOOD PROGRAM OR CONTINUATION <br />