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SAN JOAQUIN COUNTY <br /> .�a ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . c... ;c• Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> gc,FORa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Gi`0,V4 (A:1 Date: U � <br /> ddress: 4160 City. I�bL� ��� Zip Code: (1 r <br /> Owner/Operator: t?7CA I +9-- G"Ck Telephone: <br /> I "1 J <br /> Program Element: K „1 1� Program Record: ' I_ �O� Inspection Type: ' <br /> vii-18-0po <br /> sted ❑Yes ❑ Rermit Posted ❑Yes F1I Re-Inspection on or After: <br /> ... :-wwwwwPow, OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 11 v�o�G�icsNS <br /> cofTeCAIO <br /> Item/Location Temperature Item t Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> _ w .F� _ ppm_ �Wn � <br /> Name: Hand Smk o Chlorine Heat <br /> Exp.Date: arewashing Sink. of Quat.Amm.: ppm Other: F <br /> Received By/Title: / <br /> EH Specialist: Phone: ')-Oq_ 4- C6 —3 (o <br /> Time in: Time Out: i U. 2 0 v Page(of <br /> U. <br /> EHD 16.24 (2ndpg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />