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SAN JOAQUIN COUNTY <br /> gyp......,• Q <br /> y ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �q.,• ,��P Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.s*gov.org/ehd <br /> <<FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: TIorv,, n kA'( CAO_k Date: /2- <br /> Address: t 061 C-::, . City: t-�( Zip Code: /, 206 <br /> Owner/Operator: rj� 1 N L Telephone: "1 <br /> Program Element: ' LW Program Record: Co 00 I O54 Inspection Type:Cot-& 1qi n..\ <br /> S6180 Posted ❑Yes ❑ Rermit Posted ❑Yes ❑1 Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> C(SM IQiih-11- CA_i0(-Q/11 S Url CA"Cxk_P h�eU' <br /> Sc�lw Clu Craw 1�r I-jq can G'tl (.A-CA1 keuSfis • C <br /> smv <br /> Kona f -ncawCAc_e o-�- ccA-A plo t <br /> n Q �1u 1 w e hh be c u <br /> ov VAC, <br /> - 1h& CAMXff1 CIO r0- LaOk CA SvWA\ �•�� <br /> Item/Location 1 Temperature Item!Location Temperature <br /> _..�,_., <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name. Hand Sink. of Lh ppm Heat: `�F <br /> Exp. Date: arewashing Sink: of m.: ppm Other: of <br /> Received By/Title: S � 6 <br /> EH Specialist: Phone: <br /> Time in: 2 ;V Time Out: 12.^ �l 'C Page of <br /> EHD 16-24 (2"'pg) 4/3/13 �v FOOD PROGRAM OIR CONTINUATION <br />