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SAN JOAQUIN COUN <br /> 2. 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.s'gov.org/ehd <br /> �lFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ✓'r Date: <br /> ddress: 1�0 rte City: C Zip Code: <br /> Owner/Operator: ZQ <br /> Ca eLA Telephone: Lf bar•_ <br /> © Oq <br /> Program Element: 1�QProgram Record: C-� 00 LqZov Inspection Type: �1 tokA <br /> VB180 Posted 'VYes ❑ Rermit Posted ❑Yes ❑1 Re-Inspection on or After: <br /> WiLl OBSERVATIONS AND CORRECTIVE ACTIONS <br /> oo- °1 3 Gm 1 c, � .. <br /> v h-O -}- CI r, <br /> Y�i✓L e� U r rL -6 rW <br /> loaT.Ac- 8 h_4 C13 <br /> Y r cL ' rt_ nrl <br /> © " cl <br /> loin-� (.[sz d n.i -w r- <br /> r r�e .-B e e a n A C1 C Ge c b I e- W &N" -fb W-4-L a <br /> cr Zt: if o +3 u .&� 5 G h=t ' 1.9- r 6Lt_7-i <br /> a rtcl Itrz d �-f-h o ct <br /> san:t <br /> arm ) << f r <br /> /tern t Loc on Temperature <br /> Food Safety Certification FaciliTemperature Warewashing <br /> Name: _ ty Hot Water Hand Sink: _ �F Chlorine: _. ppm !Heat: 'F <br /> Exp.Date: arewashing Sink: of Quat. Amm.: ppm Mother. °F <br /> Received By/Title: U �; <br /> EH Specialist: �^ Phone: <br /> Ti-mein: : ' Time Out: t 0"10 <br /> t Page of <br /> EHD 16-24 (2n°pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />