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SAN JOAQUIN COU Y <br /> x ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . �4... �;p• Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sagov.org/ehd <br /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: '� -� Date: <br /> Address: .SD b a J I Lam City: h^ Zip Code: <br /> Owner/Operator: , `kW Telephone: <br /> Program Element: Program Record: S _ Spection pe <br /> N-0 III <br /> SB180 Posted I Yes ❑ No Permit Posted Yes No Re-Inspe tion on orAfter: <br /> _ OBSERVATIONS AND CORRECTIVE ACTIONS <br /> /k CaVL-'f <br /> S l�rh <br /> Ir *j <br /> H 0( h h t vv- rIi1Af se 44.1k a A (r7-� <br /> 04- 0 <br /> LNGS! K /'ice( / Y <br /> �tL <br /> Td a aj4(9/A-?- a� G� <br /> s� ✓ n <br /> h 44-W ►� G� I � ` I� .zcfr✓d <br /> b1n Ad: Xt - D d-Cw 'oC m4id eK" W, l Kf)"0!l rig✓ �v <br /> r arq- 600, <br /> w4tt✓ lit Cp- 6ur of rP r <br /> v16 .0' + a W0;0P- W jrwi 47Vt-- ni~W7 14OPF cteA <br /> a �-"kl I E- <br /> F I - <br /> n 4 <br /> Item/Location TemperatureItem I Location �-Temperature <br /> - --------, - _._. <br /> rti IG — r 31` l 3 F <br /> CIA '►man^ Geliw�c f�, 7o r 13° — <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: /(% % -F Chlorine: ppm Heat: A of <br /> Exp. Date: Warewashing Sink: °F Quat.Amm.: Ppm Other: of <br /> Received By/Titl <br /> e: kk ave r <br /> EH Specialist: - ( Phone: <br /> 's- <br /> ime in: I Time Out: Page of <br /> EHD 16-24 (2nd pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />