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z <br /> °�aytN SAN JOAQUIN COUNTY <br /> ' ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �q�rFaRa•P Telephone: (209) 468.3420 Fax: (209)464-0138 Web:www.smgov.orq/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: <br /> 1�1 Ct,h bate: . l <br /> Address: .7 Cit <br /> r�/['- Y Zip Code: <br /> Owne00perator: kkrX Telephone: <br /> Program Element: /0 tp Progra Record: q ' ' Inspection Type: <br /> SB180 Posted ( ❑Yes 0 Kermit Posted 0 Yes ❑ Re-lnspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 6-z <br /> Yv EL _ <br /> co yVvw'atyvf- <br /> - <br /> a Gk'�Vk .co -611,e k Il a- f�t.t cam. ��. �U_c(_ . <br /> d"Y1 V (-_ <br /> CCS _ n-+f <br /> kA_ . <br /> + ----- <br /> w,_hff <br /> itewt-acation 'Temperature Ilan i Location � Temperature <br /> Food Safety Certification TM <br /> Facility <br /> Hot Water Temperature Warewashing <br /> y ...., ..�._._.— <br /> Name: Eland Sink: of Chlorine: ppm Heat: °F <br /> Exp. fDate: arewashing Sink: of 4uat.Amm-: ppm Other: "F <br /> Received By!Title: <br /> EH Specialist: Phone: _q ' <br /> Yime in: <br /> ` hV - - —Time out: U Page of <br /> El10 16-24 (2^"pg)4013 FOOD PROGRAM OIR CONTINUATION <br />