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SAN JOAQUIN COUI <br /> p .. <br /> �0.��.COG <br /> ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> x <br /> _ = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> <<FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: i fl he. Date: 9 -30- 16 <br /> Address: ( ` a G C_ /'`v Ar , City: 'SjocKjon Zip Code: O <br /> Owner/Operator: Telephone: <br /> Program Element: O D Program Record: DUB b 1 Inspection Type: C-0 <br /> rh 12 L <br /> Fi_80po <br /> sted ElYes ❑ Rermit Posted rYes ; f Re-inspection on or After: <br /> 55 <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> a c..(}c._.iL r v cz c k, <br /> r cJr vn r. d e,�. e rr 5 k + +k- b 1 n <br /> e �h fed `+h oa chP 5fv r L.P a I ni o n <br /> n-I- Co yt +; eim e s U s;4- <br /> 1 t?t/ s + r f)ex Ch.0 5 a m rrti. rn r haee <br /> ✓1 ovi 4-kA- dL r chi rl 11.2 + <br /> o lie 4 rn a next i-3 of wej v e r© rn . PP <br /> VA+y r►-L-P We tAg eA#1 A w i G 'I Pt4rd o� <br /> � b r vot-f-i a rr s <br /> A ` rs Gt"d 11,11 'n ao rC,,Q n <br /> Con Y•e rnpJg_ cLe a,d bo cWe/s- <br /> a ' --__.no rt 10m rnPYGi'�1 Spray -icer roa-che.s . p mo le Gine <br /> _ t✓D k�r1_rr�-C i �eL r ak <br /> ----C6,,-, ddi6 h �J e r OLK5 - Rt 12 a;r %Yt-O ✓-e <br /> V, QV► -e r rvu r7 <br /> ryLt Loo r s K4A yvad[ i(-0'z 6 v lo r•5 <br /> +VLi ( a n TZe MDv2 -Poo c3 Sf>0 ver r_y : <br /> air e a. l _.e wko vie v t rr�•, � + din o-i n061M �S <br /> � <br /> .... . ; <br /> Food Safety Certification Facility Temperature <br /> Name: Hand Sink: F Chlorine: ppm Heat: of <br /> Exp.Date: arewashing Sink: 'F Quat.Amm.: ppm Other: of <br /> Received By/Title: ' <br /> CC <br /> EH Specialist: Phone: q <br /> Time in: Time Out: 60c' Page of <br /> EHD 16-24 (2111 pg) 413,'13 'l FOOD PROGRAM OIR CONTINUATION <br />