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SAN JOAQUIN COUNTY <br /> �oc°o <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> • .. y. `P. Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> S�%FORta <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility e 'Im.) Date: <br /> _ /CJ- e�•Gq <br /> Address: Z-L City Zip Code: 7 <br /> Owner/Operator: f j� FAL s klAE a TeIephon 5.61 v2 ?0/2 S— <br /> Program Element: Program Record: s' Inspection Type: K / <br /> c <br /> 8180 Posted es ❑ No Permit Posted Y<s NoRe-inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> -- -----_ — --- <br /> 7`1415 /byz�cvv r/M /,�U57Wk-9r«.yv a ryE a(/E►v '55k 67&tLoc)��2�KE�e/ <br /> SIR- u 1 s(i h/is ZjA,,1 r /YI;�s )9 �'RvPE2� iv )- clw u19j'vE <br /> ZKfjourr was 7W C'AC5E 70E tiD o ' <br /> 6 7c> bPO16M our=" <br /> -r*r5 C>f:XV (?cu40e, TY15 m a.el'EeK t�v <br /> Item/Location Temperature Item J Location Temperature ,:. Item I Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: -F"Chlorine: ppm Heat: of <br /> Exp.Date: arewashing Sink: of uat.Amm.: ppm her: of <br /> Received By/Title: <br /> EH Specialist: Phon : Y68 3�c <br /> U <br /> Time in: ; �� Time Out: �•? J Page f <br /> EHD 16-23(2n4 pg) 07/29/09 ai FOOD PROGRAM OIR CONTINUATION <br />