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SAN JOAQUIN COU Y <br /> X ENVIRONMENTAL HEALTH DEPARTMENT <br /> N: a .< <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> �/FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: —T 0­cA Q U s co # O `7 D ) Date: a-) 1 -16 <br /> Address: -7-60 6 , /� _A L r ru0� City: S.f-OULt n Zip Code: a 5 Z©3 <br /> Owner/Operator: 'f rn,e�-- . 1 I GQ�ri O Telephone: („{(o Lt—q70 7 <br /> Program Element: ( b O O Program Record: K,_4C>C:)O '3 C! Z1.Z Inspection Type: <br /> t <br /> 6180 Posted ❑Yes ❑ Permit Posted E.Yes ❑ I Re-Inspection on or After: <br /> �9 MIX 11 <br /> OBSERVATIONS AND CORRECTIVE ACTIONS41 <br /> : ',.- <br /> Lj I o LA - 2l vo 115 -- vi-p- r-e— - <br /> . k re -m - - -- - <br /> Item 1 Location I Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: t1,0 of Chl i ppm (Heat °F <br /> Exp.Date: Warewashina Sink: 1�5 of Quat.Amm.: ppm (Other: of <br /> Received By/Title: ( <br /> EH Specialist: Phone: GiL ,� $ <br /> ime in: '91,36 Time Out: I r19�4-1Page of <br /> EHD 16-24 (20°pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />