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PQu�" SAN JOAQUIN COUN' <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 'QGI FORK <br /> ;P Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.s*gov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: C kcm,.- L_\ / ��� n �.__ L Date: <br /> Address: 3.2 S� �1'v �7 L /` City: c w�/rfL Zip Code: 2 UC <br /> Owner/Operator: CC `J-� A ' O Telephone: <br /> � f <br /> Program Element: Program Record: Inspection Type: <br /> V61-80—P <br /> osted %Wes No Permit Posted 1L.Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Q�zS k r rA F \I I Ks <br /> S & V_Q_ 4_q L/PS <br /> v.. cc-vn IYI e - <br /> GsZ <br /> R��S'W_ a ( ^^ '' -2r2S tc O /telr^f'' <br /> r,Qf5vw. 2sZ 8—Sszr-t/`_ ec +q- , ck to CQ qY4-- <br /> I rFtn rnc�S-f fie_ �-- 1 r• G�r-ec.IL r-� or <br /> CL"d .' ta� <br /> c�'ru(rte' Or 0Q4. C, 4 Q /S r h <br /> Ul� Zra'N+ de-x-r- <br /> d er^ve� k 0 -�Ccu' r . C( -fes d�c7r cL <br /> Sfi 4_cnc 114- <br /> OAF <br /> o 1 ILt K0 (-Le_ L C Q p'\ <br /> 1` �hck(hz& <br /> r <br /> Item/Locatio; Temperature Item/Location Temperature <br /> 1 D� r� F <br /> Z O ar 2"F <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: 100 <br /> 'F Chlorine: - - ppm Heat: _....-..._ __._ F <br /> Exp.Date: Warewashing Sink: / 2 Ouat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: A 1 Phone: _�4 Y <br /> Time in: , C)0 Time Out: Page�?f <br /> EHD 16-24 (2nd pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />