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% SAN JOAQUIN COUN <br />? ENVIRONMENTAL HEALTH DEPARTMENT <br />Q: a <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sogov.org/ehd <br />9GIFOR� <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />R u <br />OMYj-U,, <br />1 <br />2lb Date: Z <br />( U <br />2\ <br />`,2 <br />Address: 2-rUJ <br />CI C) t f QSO <br />City. <br />�sC�l� Zip Cade: <br />Owner/Operator: <br />al. d <br />Telephone: Int -3-(06 <br />Program Element: , <br />(p Program Recor . Q <br />Inspection Type: <br />- <br />SB180 Posted Yes <br />No Permit Posted es No <br />Re -Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />t <br />coos n <br />re&s - <br />w; <br />trLe Gi <br />&Jt4e j G <br />Pew <br />or <br />phi <br />i sze <br />vg - <br />N <br />U <br />CIV Ct GrP- <br />I -V -OM <br />'ZkC6 LArd Q <br />1-+ <br />Item J Location <br />Temperature <br />a <br />emperature <br />Food Safety <br />Certii cat Oh • MM7'' Facility Hot Water Temperature Warewashing <br />- - <br />--_— <br />Name: <br />-_-_::. _...----- -- <br />Hand Sink: <br />-- <br />`F Chlorine: ppm Heat <br />..F <br />Exp. Date: <br />arewashing Sink: <br />`F Oust. Amm.:ppm Other: <br />`F <br />Received By/ Title: <br />1-7777117 <br />2,77M=7777 <br />EH Specialist: <br />Phone: <br />Time in: , Z <br />Time Out: O <br />Page of <br />EH016.24 (V pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />