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o _. . ". <br /> �oG SAN JOAQUIN COUN <br /> � PQ�.1... .. <br /> � •. <br /> �+ ENVIRONMENTAL HEALTH DEPARTMENT /-k <br /> - _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 1 <br /> �Q..• ��P Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.slgov.org/ehd ��� ll <br /> (FOR ^' I <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT W F <br /> Name of Facility: �_-)' & i n c. Date: 1 _Z'7IV <br /> — <br /> Address: �, a, 1 ity: -T U Zip Code: .-7 <br /> -7 <br /> Owner/Operator: S• 'Mcg . ee Telephone: <br /> � �J <br /> Program Element: .Z Progra Record: 1 Inspection Type: W- -'k-. <br /> SB180 Posted es No Permit Posted es No Re-Inspection on or After: 2vJ@2�LZ <br /> OBSERVATIONS AND CORRECTIVE ACTIONS 4 l <br /> �eC" <br /> er � <br /> f <br /> i i ro fes. <br /> n C f2 tr <br /> t <br /> 50cNN \ Q_ b CI e <br /> e `-� 1 1 � A-\sem f•.st <br /> men <br /> S `'t'J \a-.J Cor/e <br /> s o" <br /> Wo _VjrQ f - a./4E> f 5 \1 bQsjl e� <br /> 5' 1d-k0' I b _ <br /> Mo.n \l7'Zit -f! c ' ` -A <br /> Item/Location Temperature Item I Location i Temperature <br /> �. SOF <br /> S <br /> jF <br /> \ F 2- O <br /> L�=.�. _. c .�'�� ---- �?� �L 'I c <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: S, Hand Sink: �2V of Ch rine: -30 ppm Heat: of <br /> Exp.Date: 2._ _ 1 Warewashing Sink: r of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: - \ Phone: b� <br /> Time in: ,1 �f l Time Out: Page.._gf <br /> EHD 16-24 (2nd pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br /> A-1 1 Pro <br />