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SAN JOAQUIN COLIN <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax: (209)464-0138 Web:www.si4ov.orq/ehd <br /> <<koRi� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: -� • i„ •-r- , Date: Ip_ <br /> --r <br /> Address: 233q (,� on er City: C Zip Code: `/S'2 0 <br /> Owner/Operator: C1, <br /> i (A Telephone: <br /> Program Element: - Program Record: Inspection Type: <br /> () Roc) <br /> SB180 Posted'-)Or-lCes n No Permit Posted I es 71 No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> J- ('�Q 11��W n s{�e rS) Sri vl ��122r i S ��SS c:cv� 5 l-�►� 'CAI <br /> _ ---- i�'l C r..�2� S�e.st a Tf 23/- 5 Tr'era S'�"�i� C� (+�G r I Y�a.��_�Q��'a'► C T �'l a GLtE� <br /> r4US4 <br /> ,c:. n r@. <br /> a uv � <br /> 1�fe Ql( e_Q.�F 6 4 atS +fAa- Arabr <br /> Item/Location Temperature Item!=Location Temperature <br /> - <br /> 3 - <br /> �—'� for <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: NCI&4Cy <br /> CWOt Hand Sink: r of hi ine: Sd ppm Heat: of <br /> Exp.Date: _(O _ arewashing Sink: , Z3 of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: W Phone: <br /> Time in: Time Out: 2 Page>of <br /> EHD 16-24 (2n1 pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />