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SAN JOAQUIN COUN" <br /> .Z� ENVIRONMENTAL HEALTH DEPARTMENT <br /> N: x X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> cq.. iP Telephone: (209) 468-3420 Fax: (209)464-0138 Web:WWW.sjgov.org/ehd <br /> �%FORD <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 1;-) i'T kW_ Date: 7/ (717 <br /> Address: I.�r _ 1�a�,�vrJt st- City: S} Zip Code: cic 2aO2_ <br /> Owner/Operator: Ord f C� -JJ 'k A-k S Pe �� I Telephone: "I V <br /> Program Element: I`pZh Program"Record: +�1� I Inspection Type: <br /> SB180 Posted f_Yes ❑ Permit Posted 1� RTes XY Re-Inspection on or After: 2 P <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> C C/ 14 1 OOH WC, � ��,��� ut a- cc",", ChnY-- - vu <br /> So - I}�Strom CAe-d t--"f_-e- tD wcA at Th� �mNNO . <br /> cert e vTN &1 •The , .g caJW4 is on 11z buvr U nwill 11u 't bvNc_�n-_ <br /> '9 Uxg lb- . wrrec l- jno . <br /> 1h_& v-4aW t 111z nd sm IL, i S <br /> Sfiu <br /> 11\c vY Cuff 9- comp &jnV1- 1CI--r-. u t <br /> 12(} F c"f- <br /> �o v -C-e -Qif C4-m <br /> j k�P Ccf0f M � an A L <br /> a"Vt,4 <br /> 0 n\ w n;e , Ve4 !� wQlrewCt h t h <br /> wt C) 1-�Ca�k a <br /> __ _ �S , G1►� ` n 2 v�` -PSS - <br /> r cc/rNA tiw./rs do-\ I-&ve, 11 0 Spro-v ick- _fz-dakf <br /> Temperature Item/ rature <br /> Facility Hot Water Temperature Warewashing <br /> _ -' _ <br /> Name: n PAOU 4 . an <br /> Hd Sink: �,, of Chlorine: ppm Heat: of <br /> Exp.Date: / r fi� arewashing Sink: Ii>'1_. of Quat.Amm.. ppm Other: F <br /> Received By/Titl 1 llJ T <br /> EH Specialist: — Phone: <br /> Time in: f(� Y Time Out:�(tJ, �U`'�lL��y 1 Pag"f <br /> 1 <br /> EHD 16-24 (20°pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />