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SAN JOAQUIN COUP,f' <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 4 p. Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www siaov.org ehd <br /> C,FdAr' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Data: -s'3 -►S <br /> Name of Facility: au <br /> Address: 5o Ir City: <+E)#1 Zip Code: <br /> caner/Operator: Telephone: 7—(o I3 <br /> Program Element: 1(*Z4 Program a ora: (29-0S 2R Of-2 Inspection Type: y� <br /> 6190 Posted Yes No Permit Posted Yes No Reinspection on or After: 1�^/ <br /> - _- - <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 9-4 PL'uLth <br /> rta8t�.1C_ at�4 far I r•+Cw.e-ls Prov-, c40L <br /> 1A )nAeA fn,VU t +r a as n <br /> 2-1114 <br /> 'x11211:5 . "r un <br /> © t <br /> ld rs ham.,a Coo (z L.*n L4.l:.- trt_A rs O da. <br /> YI�G'L�t n 2 L r L)msct'n 4wt r -t D-e .t <br /> �� --Lp@ .c Qrtw <br /> -441 Ir <br /> Gorr4,_ <br /> Itemll-ocation i Temperature Item/Location Temperature <br /> I <br /> - I - <br /> Food Safety Certification L Facility Hot Water Temperature y � War'�Washing - <br /> Name: Q Hand Sink: `F brine:l:3^��WQS m Heat: F <br /> Y pP <br /> Exp.Date: _I _ S arewashing Sink: `F uat.Amm.: ppm Other: aF <br /> Received By/TMte: <br /> -CSu-S r OS <br /> EH Specialist: Qin• Phone. <br /> ime in: 0;_11.5 <br /> 1 Time Out: D `J Pagel of <br /> EHD 1624 (2n°pg)4113 FOOD PROGRAM OR CONTINUATION <br />