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SAN .JOAQUIN COUI` <br /> y� 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 /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: t Date: 7-1 <br /> Address: i ) ,ti City: T c Zip Code: Jj ;7.- <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> Oc,+ lr•'I� <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> r Cj ft at,, cov; A i I j t o lie //. fiem c t t4 b h, <br /> rndi }a�/l�l J Sl ook cove . Ccrrecl ; ,-, ! cC'-7T <br /> or <br /> rr CO . emO✓e ,rYlrYle q II <br /> 3 W 0c, C/ ) hrc w X Ac 90nncve ra u1 I'd C' J vi <br /> r c cluc1S o n Ih� �lC, it C /n ('140 C 1OcI/ <br /> T <br /> I G W e' I5 rj r CIC4C;J at K[? c✓C <br /> - <br /> fiduJ Is / n l UJ e �c�( 0 n a . Z lcb05 <br /> rP Fc � n 1p1r, r- . <br /> cc✓ e r <br /> A 4 ;' n 3 -cc A � ldw, r, <br /> 1 <br /> 1 t7 ✓PS r;Gr >t!i ! i n �y1. J �c ; <br /> m e i tI ryl ry7 C ik a -1/ A ul J, e 4- <br /> p� S r;cy- W; 4h Sri; <br /> r1 61 Gr I' f , ) 4'1 G I?P i C �/ l 3 / <br /> doc rp e er h c, 0/'u , a .l 1 /►t' b I t k cvn. <br /> / u <br /> j u C/n <br /> b/ ackrcl 0 F vn block / 1*1 .- Jrc/ , <br /> cf / <br /> C.(/e l 61' j p 1 -K L <br /> P + d r c oOfa <br /> 5 <br /> dcGf- relo) i e 0 <br /> -dc'Cr / F LVo IS OSS f <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: Chlorine: Heat: <br /> °F Qf4t 3 U PP °F <br /> Exp.Date: c arewashing Sink: °F Quat.Amm.: PPM Other: °F <br /> Received By/Title: <br /> EH Specialist: - Phone: / <br /> Time in: Time Out: Page of <br /> z_ <br /> EHD 16-24 (2n°pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />