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UA" SAN JOAQUIN COU <br /> )O •........,.0 <br /> •.OG <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: m— Date: <br /> ddress: / �G /04V e- <br /> City: CK Zip Code: 5�d7 <br /> Owner/Operator: c.) r a SO h n SaYt Telephone: a2 55 <br /> Program Element: a Program Record: k D 1 (06,17 or <br /> b Inspection Type: fi n <br /> B180 Posted n.Yes ❑ Rermit Posted !' ❑Yes Re-Inspection on or After: <br /> 1 La <br /> 1-MAgni'm 10 <br /> c p +cl L W +1l 0 L4+ ` kLi <br /> 011-4 Y 71 n+5 ro v Ot r 640 ra- -e- <br /> D YLe ► ILAja.s Y- rn.o V-g-c1 J. s4--r) r,L <br /> o V-Q.d A h 10 C-0-4-i o pn YD..I+ ci ►tie <br /> yj -4-h ck_104 1J oof r-6 6 h (A I <br /> 06 Y <br /> n yyl.e a t Lkl to tee-4U + LAJ CL-4f y • YY19- + lz ILL <br /> r A P 61 S <br /> e u-i n-e cti t!t a stir t <br /> kAk 4- 4-0 r vi 3.c <br /> L2a k 6+)l 5 art.ti' -fire r _DI - Sh�x <br /> It,� rvi rLA GLI I ori <br /> D 3- Go n L ✓ tom .5e- r, <br /> Y el ho VC no)ll _...... se-6,0 o n s ro • l <br /> + -b 0 w <br /> ItemlLocaGon _Temperature Item 1 t acation Terraperature.. <br /> 2CID 6Y C <br /> v�F <br /> Facility, arewaStlin <br /> •(•, .�� ,.,;� � � Facility,HotIfYa�Temperature 1N 8 <br /> Name: T Hand Sink: C toryne Heat: <br /> anit J n5r0 rr�b of ►1N1 V ppm �F <br /> Exp.Date: L 1G,1 �7 arewashing Sink: 19D of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist• Phone: <br /> Time in: Time Out: �� Page of <br /> EHD 16-24 (2n1 pg) 413/13 FOOD PROGRAM OIR CONTINUATION <br />