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SAN JOAOUIN COUN <br /> y� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 0: :< <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: (;`nc hc; `1 Mt 1 IN` Date: „ I ' <br /> Address: 140 1 S , W\V tT� WOE City: ��y--Von Zip Code: G 52 0 <br /> Owner/Operator: `I 'fijh f, 1N C, 1- - �. C-1 Telephone: (1 <br /> 1 t'ruc �1` <br /> Program Element: Program Record: O 22`jto Z Inspection Type: <br /> SB180 Posted Ye No_—) Permit Posted Les No Re-Inspection on or After: n �S <br /> OBSERVATIONS AND CORRECTIVE ACTIONS T <br /> salit &\sWGry : '3e(T _ <br /> IUu 3 -C vm S f1tL : 12U`F (ti 6Z <br /> -cam i Q cityy-� • Hi n <br /> 3 0n u min Cc d- ccNCkeW - tezP 0Cort m"& <br /> v T s 1'td <br /> -tkt s n� : 100 s -cvm 1 W �R1 - <br /> O� _ScMr✓ fi-ocy-i c fiGlneT U(IQ are C vcx - "YACC, as scin cis <br /> s�ox <br /> W, W i ; vt s Ure Wired cm TCCu niece . Stam m6 <br /> fi n4s ►k \ . <br /> o, k° Temperature Item/location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: 1 uU�G LHand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: ,� 11 arewashing Sink: 'F Quat.Amm.: ppm Other: 'F <br /> Received By/Title: "T— j U M tN-G✓% 2_ -," l Gl KL <br /> `I J Ci 0 <br /> EH Specialist: Phone: 12()0 <br /> _ `-t A � _ ` +6 <br /> Time in: 1 '. 46 Time Out: 1� 5 -1 Page 2of;c <br /> 1 � r <br /> EHD 16-24 (2^d pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />