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apq�t""Q 1b SAN JOAQUIN COU*r <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> `4�iFba�" Telephone:(209) 468-3420 Fax.(209) 464-0138 Web:www.sigov.orq/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> [Name of Facility: <br /> � Date:dress: tf.(l� City: Zip Code:ner/Operator: G! _ s� r, Telephone:ram Element: CJi'C 9 �O Program Record: � IIO� Inspection Type:Zhdi7_180 Posted Yes No Permit Posted es No Re-Inspection on or After: t`0 y <br /> '7.{.111-"'1"..3 <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> i r f \' :e n r <br /> .:QAC T are, sS\n tr Car+ "rA }e <br /> '6262 h 1.Ll � e o d s cf n ler �- <br /> WD vie <br /> 4h Y23 SU r 6 nAK IA- 2 C,.}- a\ <br /> r r& �h arle C& CUP r <br /> pj <br /> I- c.�a n r I Alan1 o <br /> 1 -I d <br /> p MDr'Y <br /> os a s 07\ r <br /> y`Q- mQe )1-c <br /> 01+ <br /> Inn rs <br /> rs r <br /> 0 1D r 611bar + c,C�ct <br /> _ rior pF d.60r Ue }Meld C�oC>?r b If 1_S-/ <br /> Item/Location <br /> :Temperature T F:_ �. :: _ Item l Location Temperature <br /> - <br /> CnoCa r ✓ 41 <br /> r _/_W�Ic ,r atl- 14Sp <br /> Food Safety Certification - — <br /> Y ° Facility Hot Water Temperature —� <br /> Name � - -ice �; \Narewashing. <br /> IiHand Sink: : ------- <br /> _,- J�� /fid .F chlorine: PPM Heat: <br /> __ -�-- `F <br /> Ex Date ---- Ware—in—Sink: <br /> Warew hin Sink: 1 ,F quat.Amm.: PP they. oF.._ <br /> m <br /> Received By/Title: � � �a <br /> EH Specialist: L Phone: <br /> ime in: O,}� 'T Time Out: , Page of <br /> VV a. <br /> EHD 1&24 (20°pg) 4/3/13 <br /> FOOD PROGRAM OR CONTINUATION <br />