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SAN JOAQUIN COUG� <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> .. ;P• Telephone:(209) 468-3420 Fax: (209) 464-0138 Web:www.sogov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Sh �� r 1� Date: <br /> Address: `2_;oCity: C u ., i Zip Code: <br /> Owner/Operator: 1Lrh Ca, J 4- Telephone: I'?A —4q925 <br /> Program Element: t 16'} CJ1 -Program Record: � CA22, Inspection Type: <br /> SB180 Posted VYes ❑ No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 'Durnizs 1ht S;' m _WbiZ Of-C, a1- \3()-f �35°(-_ <br /> oy i fiodq <br /> s Gr1d <br /> �veS '0 I <br /> 1Y I <br /> U6y_A--4W Wn touS Of swar Ondr- lu(R- M cvcn 609S <br /> S I 1 n9-r �66c t <br /> r sere cr-- ntd - s d <br /> co(e Ord umtaf rlealh ghp-1 .LAS: own -�Z� <br /> C\1 r _ k lth _�t not Cw 00-U . 0aln a C <br /> r-1 C i) X14 -- <br /> Item/Location Temperature Item!Location Temperature <br /> 'JU - <br /> W GM- ih vLXkar <br /> G W I�� o c111�-r I ` ------- -- <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: �uh GQ U Hand Sink: Od o f Chlorine: ppm Heat <br /> : 'F <br /> Exp.Date: ref I Warewashing Si I of Ouat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: /1 r� _ii �� ii ii . <br /> Time in: i 1 , �� Time Out:v'vt 1 �`T!1 —fT�7 Page 24-2 <br /> EHD 16-24 (2o°pg) 4/3/13 1 V FOOD PROGRAM OR CONTINUATION <br />