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SAN JOAQUIN COUNTY <br /> 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 /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: !— S t G0. Date: 2 ZS'1 <br /> Address: 3 City: , L Zip Code: S ZO <br /> Owner/Operator: �V 1 Z Telephone: <br /> Program Element: Program Record: 16C:iClg Inspection Type: Q U k� <br /> SB180 Posted Yes ❑ No Permit Posted ❑Yes 11 No Re-Inspection on or After: �� <br /> OBSERVATIONS AND CORRECTIVE ACTIONS -• <br /> 4CsL v &' C.� t✓`9 r _ <br /> Snq Q� r o� i r- ✓vl+�► t a-�2 GO 7►t rkcS f4 <br /> GE ttc <br /> _ ;�10( <br /> fi4 r� <br /> 777 <br /> f- (foldR.'C_,. �n <br /> tName: <br /> Cc) D r0E-.11 <br /> rI. Hand Sink: f00-t— IFC lorme: �0Dppm Heat: of <br /> _� _/ arewashing Sink: Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: ^ p` Phone: ��� ,l— <br /> ime in: 1 1:061 v Time Out: PageZof <br /> EHD 16>24(2nd pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />