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J <br /> SAN JOAQUIN COUN" <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 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: — �`c4 r c". Date: q—17-i ct <br /> Address: ' 0 \ _ ��u� L City: Z—Z>C(`. Zip Code: 195-2-4fLD <br /> Owner/Operator: kr—, Telephone: 93ti -Z 7;D <br /> Progra <br /> - <br /> Program Element: 1 6 2 Program Record: Q ,b0 15•- Inspection Type: <br /> SB180 Posted es 1 No Permit Poste Yes No Re-Inspection on or After: 'f <br /> OBSERVATIONSAND CORRECTIVE ACTIONS <br /> rt' ` S ` s� <br /> GBL kt, I <br /> 1' �rr� !S C C <br /> .02 IV,( <br /> e G'1 <br /> TeL <br /> oor c -Ff.st_ poor <br /> - , -I-d r dco d2 <br /> �c14`h c Icy c_1e L--Ad, c Q ver X ar P Dov t Sh 44 aCi.,AI L . <br /> ar-►�c � ire rrec'K <br /> 1" roo ` i ti{Qro�Qr <br /> lcLid 410 . C- <br /> Prov S ., <br /> i s . PKA41C C, r <br /> It Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: f!JC� �F Chlorine: ppm Heat: �F <br /> Exp.Date: Warewashing Sink: / ZC� 'F Quat.Amm.: ppm Other: `F <br /> Received By/Title <br /> EH Specialist: Phone: 4 Y <br /> Time in: ' f Time Out: t'Z. Z� Page Zof <br /> EHD 16-24 (2n,pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />