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,P4u'" SAN JOAQUIN COUNTY <br /> Z� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.si4ov.orq/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: CDate:(vi— 71 114/2 <br /> Address: u ( �y� `� �,� City: �i Zip Code: <br /> Owner/Operator: V� ,w Telephone: <br /> Program Element: I Program Record: 0 I >., Inspection Type: a <br /> SB180 Posted _Yes '.. No Permit Posted _ Yes No Re-Inspection on or After: Gln <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> -CL f l G J a9— ✓Ilii 6ti� <br /> j . <br /> ( '1` N <br /> I — sa K,,,h.� ✓ A&ke- Oil <br /> U Gfi Witi w - Yv. <br /> im ri <br /> tf A V1 l� v IL h�� rV_W PAV4Vflk✓ C�� <br /> f o 1 (0 4- <br /> Item/Location Temperat Item/Location Temperature Item/Location Temperature <br /> ALT �(/f C G{,(-� d �• IrDl1 1.�/ � -� �i,' ,t= <br /> C (//10,T"��� <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: ofChlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> 9 <br /> Received By/Title: h14 /1 _ <br /> EH Specialist: S t Phone: _ <br /> Time in: Time Out: Page ' f' <br /> EHD 16.24 (2m pg) 1/18/12 FOOD PROGRAM OIR CONTINUATION <br />