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SAN JOAQUIN COUP <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> J. 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sl-gov.orq/ehd <br /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Gw c�e1 Date: � 1 <br /> Address: 251o m- s_i_ City: ( n Zip Code: 1�520� <br /> Owner/Operator: 1P�Qm't ( lockk)`ti`` r'In6th Telephone: <br /> Program Element: 1� (� Program Record: "17F,0 1(01 CIO 6 Inspection Type: <br /> SB180 Posted YesPermit Posted Yes — No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Ku <br /> L(AW UWC9AS '► SICU6 RSt' lwm tadck <br /> Stene, 'Mo'd Gr \U_ c, I S i-a <br /> 1Lq sw tS gam - OW in CdA <br /> 0 b,Wed '�u M~ <br /> 6-kla U n -VD6ck.,I rAvA 'GNU t1 <br /> SbAze, 6111 rAy1micMS r <br /> Item/Location Temperature Item/Location Temperature <br /> NOK N►CA Y-- %h <br /> Food Safety Certification Facility Hot Water Temperature Warewashing ` <br /> Name: Hand Sink: 100 'F Chlorine: Ppm Heat:__ 'F <br /> Exp.Date: Warewashing Sink: I LU of Quat.Amm.: PPm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: q �� Time Out: Page -bf� <br /> EHD 16-24 (2^d pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />