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�oFR ..�oo SAN JOAQUIN COUNTY <br /> H .X ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> r4tion�';P Telephone:(209) 468-3420 Fax: (209)464-0138 Web:www.siaov.orglehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: C r. Date: _ r <br /> Address: �-� k � L� City: 1_ r Zip Code: <br /> Owner/Operator. r e i 'i77 Telephone: <br /> Program Element: I C Program Recolyd: I Inspection Type: Cp <br /> V8180 Posted '�Yes r1 No Permit Posted ❑Yes ❑ No Re-Inspection on or After- <br /> OBSERVATIONS <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Ccs 1atr\+ S fq+e5 -' l f - 1 3 <br /> r a S o ►, • �� <br /> t c�*4 Z PrcGG C I1�Gl� v. Q5 t�o <br /> CD <br /> < <br /> 1 1G.vua •+ r i 0-r- col,•t - <br /> Ar O a e4ev, °mac G s t S-I-v- %C t 4- <br /> CID Scq r- 5'4 re <br /> k.,i e- E G.a (e . UC_e-. -e 1 ko ar 4- ��actif' wr <br /> k L ; j- of k r 2 boot I & f•�� Cci/� P zz �2creCt .F oT <br /> legef1k LL, <br /> c 'T, CLQ <br /> IterNkacabw Temperature item 1 Location Temperature Item!Location Temperature <br /> c1�a� PO fo'iOPS 5F LSV- f`� z PC4,- <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: 1 aF Quat.Amm.: Soo ppm Other: of <br /> 3' <br /> Received By itfe: <br /> EH Specialist: Phone: <br /> Time in: i 3 S Time Out: r Page f of <br /> FHD 16-24 (2"1 pg( 41W12 FOOD FROGRAM OIR CONTINUATION <br />