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0.0 " SAN JOAQUIN COUI <br /> 4 ENVIRONMENTAL HEALTH DEPARTMENT <br /> - 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> .... . �P Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> i <br /> L6W <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: +� uhu� — Date: �7_ Z" 5— <br /> Address: 2 1 U t MQ i n City: F,10C_Mvp Zip Code%ci 1� <br /> Owner/Operator: i t -W I u .\v ro co-VA S - 7 �t y, i Telephone: t — 2)„(_OS� <br /> Program Element: 1(0Oj Program Record: S•� (' J vInspection Type: tin <br /> Q' C� <br /> 80 Posted Yes I No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> - _ ... .....--- <br /> _.........................................------ san `mit-1-►/ b�t�l �l- u <br /> rR- nit TU Un - 0fZ � VF CA- <br /> V, TCCA � w J1 b+2 MCAC 4� CCld sQI�- c�heS . u w in <br /> CA))C'W Q \jr\1.� S t �- S Cne- 0j.,LC5T_� Citi <br /> ry(N i <br /> dl�- 1Zoy <br /> �1 i �� • - <br /> P�n ZW c- \o t�£7� l 1Wr wt r\SA 1ked C�+ WU Cir U <br /> T d vy2 2-c cu n1 -. p'V,'1&t nn M COLO CL. 4 -S . <br /> S1 n S 1 e- CIS 'i_VY \\ <br /> CS11 1)Y- <br /> MRVOC311U <br /> µ FoodSafety_Cert�fir„atson Faciii#y Hot Water.Temperature1Nare washing <br /> Name: Hand Sink: t UV of Chlorine: ppm Heat: of <br /> Exp.Date: arewashing Sink: I l a o f Quat.Amm.: ppm Other: -F <br /> Received By/Title: -� <br /> EH Specialist: Phone: <br /> ime in: C Time Out: l� Page iot10 � <br /> EHD 16-24 (2"^pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />