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SAN JOAQUIN COU1_ <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> tiFORi•� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: o Date: , -2, _ i <br /> ddress: t .$ ` / City: f _ Zip Code: 5 <br /> Owner/Operator: f �-�! TD Telephone: L`6 5-3 <br /> 1 <br /> Program Element: t b l-7 Program Record: �l p O O Inspection Type: <br /> SB180 Posted $,Yes ❑ Rermit Posted Yes ❑ I Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> I t iyuy coria U LA 4�C-,nj <br /> L. Y2_a <br /> >( Q L C 1, <br /> e r 1 - ar <br /> ve- c n <br /> ` e e+ 2 <br /> 6� <br /> 1 <br /> b n.� inc e tr <br /> 1 mac.. ctg O e c <br /> w r o I'Y1 A C LPcA n 14 Y-P <br /> CIA <br /> CA <br /> Low ncka 8 -().114 s _.a� Gu.�;- ?Dnw r D'a-t'r) 'r-P*Y_C-e raL_a <br /> 0,05,c A -n In clerr r u n C (5 . cA eRf-in <br /> Item/Location Tem}serature Item t Location Temperature <br /> C �--�x,,e ------...........- n I, 04-1 C4 " a .�.--.- o <br /> 0 <br /> 1 r cel <br /> Food Satety CerGficatton Facility Hot Water Temperature Warewashing <br /> .._._.- _.--_._ <br /> Name � Hand Sink: °FChlorine: ppm Heat. F <br /> eA I <br /> t t--t- Si ng h ° <br /> Exp.Date: Q -a arewash'ng Sink: I. °F Quat.Am m.: ppm Other: °F <br /> Received By/Title: � <br /> EH Specialist: Phone- <br /> To 40 LA4�ZCJDM:t <br /> ime in: i�� Time Out: I Pa93,o <br /> EHD 16-24 (2n1 pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />