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aRa "• F SAN JOAQUIN COUP-,,( <br /> ?a ENVIRONMENTAL HEALTH DEPARTMENT <br /> a < <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ia... ..::P Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: f q ( Y CV j A(Alo S4 o Date: 7 2J-/ <br /> %ddress: 39 (IC , TrC4 c City: �(� ( zip Code: 9S 3C' <br /> caner/Operator. Telephone: <br /> Program Element: Program Record: Inspection Type: CAA I e <br /> 8180 Posted ❑Yes ❑ No Permit Posted ❑Yes ❑No Re-Inspection on or After: <br /> S I-c.p o4 <br /> . i <br /> Mack <br /> h .v1 6 loan 4 o4 <br /> or <br /> +1 ac J a4 3 - Cc S cc, J Q <br /> r ; r\ 2 <br /> rP 4Y ; ^V 03 <br /> Ccowe a d IC l r a <br /> �G <br /> rc� n. n i ✓� yj A <br /> JUdo <br /> d MC4 G Ittr Pry : +: Cc, ! QX d 7- 1f-, 13 <br /> oc; 40014 Gloss a ) rocd <br /> jv <br /> u let + is eclrcr, ro r1 un <br /> k ' t 4r <br /> iLCF. q00 y <br /> I� ►58 F <br /> -. Food Safety Certification Facility.Hot Water Temperature Warewashing x: <br /> Name: Hand Sink: Chlorine: Ppm Heat: .F <br /> Exp.Date: Warewashing Sink: -F Ouat.Amm.: PPMID ther: "F <br /> I <br /> eceived By/Title: VA <br /> H Specialist: Phone: <br /> ime in: Time Out: f7 O Page of Z <br /> EHD 1624 (2b pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />