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SAN JOAQUIN COU Y <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> - _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.orq/ehd <br /> �lFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: FA Ynl r,.I+ Date: f _2 P-_L'5 <br /> Address: -1 (o-2 $ m c.i -Re- city: 5 cX-fa nzip code: <br /> Owner/Operator: Gu-sA- I i rI S �/+ 1 a A_ Q S Telephone: <br /> l ` T /T U <br /> Program Element: I Program Record: 9R0 Ibd �Z Inspection Type: r1`� <br /> SB180 Posted Yes No Permit Posted des No Re-Inspection on or After: (rng-144 `i <br /> C?BSERUATlONS AND CnRRECT11/ T <br /> eta_ l ity cam- flu-0 as a 35 F _�- <br /> ...........................?-. <br /> cz>c!�'Lo <br /> ►�o-I- c-8 -e csu h ___ +w-p-en x-1.'7 44 q 5 Y�a 1-L <br /> _._ Ike... + OL+ r Lo�&kP r <br /> ----- <br /> n co v-P r-e—� 4vo C1 w Goo Le r n,►_�_ 424,4 e--L4-- r . s✓r+o <br /> mCr <br /> s C 0 r'i-F9 w° t.¢3 V� <br /> b .iw-e.�.►L 5 <br /> o ---, • b 1 .-Z3-15 <br /> e�-e_roc. ---. _. h-e l._ t�, __..._ .. .t.)are u�.u�► -.� -�... <br /> - I- P - <br /> _:57 _. L -- - caQs _ l�i ,- _ 1 � ---- -mss _ =►,r_ u Q ►-Lar- o-b <br /> us Li Y1 n� 1�-C a=t 1..e <br /> _. <br /> Gl v�-28L S � ��a..-� -�-h-��6'�►^�- ---.._..._._!_2_t?��._ ...._�_�5._Q.►�.1�-t n. <br /> IfemtLocat,o» dem nature _ Ite'n l Location er5 perature <br /> 1� _ �`. <br /> T <br /> Comte r t v _- _s z Lilt PO f+ W of+f r b zx-t� !(p y F <br /> 5exo15-z>t --� —T -av I n HI <br /> pr-ep CooLe r -Sa IS 4 0 'q 9 i�F <br /> CL ►� Coo Ler _ q &Wr `Tru q cvr <br /> Fas�tl'Safe .Gert�fictlon _iacd Hot W ter Tep <br /> m nature .<, Warewashing <br /> p <br /> Name: Hand Sink: i 2(O�F Chlorine: 0z0 OPPm Heat: °F <br /> Exp.Date: arewashing Sink: of �S Q pp Other: F <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: Time Out: Pagtof <br /> EHD 16.24 (2n1 pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />