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SAN JOAQUIN COUNTY <br /> a ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sa ov.org/ehd <br /> <<FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: N116 Loco -� 3"k, 1, Date: (a f I fo <br /> Address: ul-�5 N , w`1S,CV <br /> City: GIC Zip Code: Gr'5�Orl <br /> Owner/Operator: {. �C _ (o � r W�c n ,.1 Telephone: <br /> Program Element: Program Record: 'OF- f 1 _ } Inspection Type: kA jn N <br /> SB180 Posted VYes ❑ Rermit Posted Yes ❑1 Re-Inspection on or After: �= <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> I \ . ire i S ume- Wildup 0D 1ho fly o r \Nhn'l-e <br /> C s cure. C L ah in 3 6 S <br /> 2 1 ► n ► es at- 2 �iT\tL c,� <br /> i u& a I, 2 cies p�" hav;2 an I rl n ap. p rzN ide <br /> o <br /> n o i r fi �� (A .�P�f o f Tt� <br /> rU I12 . <br /> r-ocd • grkd LVK CQOL CAN C-1 <br /> SGnj : -00 <br /> eN eco s r f - <br /> Item/Location Temperature Item l Location Temperature <br /> - kka M - — t 35 r- -R-_I JZ &�-Ua M <br /> - 1 r WA U I r P r-NeThA r <br /> i �r (�oIQT c (CA <br /> Food Satet Cerhfic�tion Facility Hat Water Temperature �; Warewashing <br /> „ <br /> Name: hs NU cek G Hand Sink: ( v(3 of Chlorine: ppm Heat: of <br /> Exp.Date: (Of Ifi ( arewashing Sink: 12— of uat.Amm.: 1 G G ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> ime in: <br /> Time Out: 1 O.3G� Page/of <br /> EHD 16-24 (2n°pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />