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K <br /> ot4`'•N. SAN JOAQUIN COU( ' <br /> 5-• ' <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> W. - X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232. <br /> " • ��.L w- �`P.. Telephone:(209) 468-3420 Fax:(269) 464-0138 Web:www.stgov.org/ehd <br /> Ip�R <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT . <br /> Name of Facility: 0 0 �j 30 . Date: , I <br /> Address: <br /> City: � ,�lv tn� Zip Code: <br /> Owner/Operator: yam{o,(— Telephone: C142- 2 -- <br /> 4 <br /> Program Element: 1000 1 Program Record: O (0 Inspection Type: n� <br /> SS180 Posted Yes 11 No permit Posted C1 Yes ❑No ✓ Re-Inspection on or After: �----- <br /> UBSERVATI�NS AND C6RRECTIVE ACTIONS <br /> i S�� Ste" S •r r rrlomn 01) [oc 3011b . Fj <br /> tttt d is Ccs cn ttd C)n oxan, <br /> 1TV�_VGh i c�t� i S O WOG s S Iz�r : r S�s i c t4 'h <br /> Wa1�c1n co'CAAf< <br /> - �Y�u cQ� -i�.e ov�rn�•r an awt��r- ��es mal- �� wU�� �n <br /> (c)c)w_. wa,s 0-� 5�oF or �� i t�. e �1�c ea use (Ird <br /> i, ar Il 'fie c- -the1y- 'm cucw- some core, <br /> uS 1J jt)ei Qrne, da lhx Tne vvWk-- 1 CoAOW Cooter <br /> w &. wcfrnQ <br /> w n <br /> itemlLocatiora :,' 7emperatuie ° : '� ,f,.s. item/Location" a a•N 7er►iperatue, <br /> P-Ckvt Ch%car) I�' <br /> all 64" yr 611 <br /> Food Safety Certification" T;;, Facility Hot"Water Temperature 1Naiewashirig <br /> Name: Hand Sink: of Chlorine: ppm Heat: `F <br /> Exp.Date: Warewashing Sink: 'F Quat.Amm.: ppm Other: eF <br /> 1 Received By 1 Title: <br /> EH Specialist: Phone: n o-a 44 t�r <br /> Time in: 1 Time Out: 1 `3 Paget of <br /> EHD 16-24 (21,1 pg) 4013 FOOD PROGRAM OIR CONTINUAPON <br />