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OP41"" SAN JOAQUIN COUN' <br /> ).•.�4.COG <br /> Q: <br /> : ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> tlkoRa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Ct rA ! r^ Date: 2Z'� <br /> Address: 30—DLi Kellf lem City: % Zip Code: 952-4.i• C) <br /> Owner/Operator: e" l ,M re Telephone: <br /> Program Element: , Program Rec d: c�t 60 3 2-0 Inspection Type: � ��+/ <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> - w�� llydt-�-- , � �I,� w����=-(h c��� 1_�,�;--a/�� �.•.�. -F�c z�:- ut-� <br /> - u y 1, a- C U-/e r r- ( • <br /> C� ry � � C •eQr'1 � Q1�"2A 50 t � 1 S <br /> 2[1Ze� dQ <br /> 4!:At-^41 r <br /> L <br /> 5 e 4,- l css-- . R2 iii r r/ <br /> t <br /> Item/Location Temperature Item/Location Temperature <br /> -- - - -- <br /> 1AJ QA <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: / OCD /L 'F Chlorine: Ppm Heat: -F <br /> Exp.Date: Warewashing Sink:VI Z�t -F Quat.Amm.: Ppm Other: aF <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: Time Out: � Page?of2_ <br /> EHD 16.24 (2nd pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />