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SAN JOAQUIN COL Y <br /> Uij ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.si9ov.orp/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: � � u U 1 (A rl cAntlo Date: .4 ,1 bl <br /> �- <br /> Address: tl '( N W 1\1�'Va- ra City: / � — Zip Code: qC,2 0 <br /> Owner/Operator: NAOCCM o C)0 , I l „ lJ Telephone: <br /> Program Element: �'` 1�`� Program Re doVz 04��? Tyb Inspection Type: CV�A ACA l 0-- <br /> SB180 Posted ❑Yes ❑ Rermit Posted ❑Yes ❑ I Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Cu t t 1 I QS a C 1 QUr CUy6lb Cum w <br /> MqnC,Ao,Sn waAE,,c m e1cA--1. i-t,exe A& of SU 0 C u t <br /> CA.A_V. <br /> CCAV - N,S CAM- Tl- k,�6e ­Vt� <br /> 6\\ -_-VAaQ f1 v--i U fpcx) vce,0 <br /> 1r,- '90un t <br /> n\6 CA i GT� ltw 61 I on <br /> CNtcirN SI I <br /> tt rX - cut 4NA Fc od Qc - MU e CM 42�, <br /> Item/Location Temperature, T ~ Item f Location Temperature <br /> I <br /> Food Safety Certification Facility Hot Water Temperatu <br /> Warewasfiing <br /> Name: (Hand Sink: 'F !Chlorine: Pprn iHeat: of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm iOther: of <br /> Received By/Title: <br /> -H Specialist: t Phone: <br /> ime in: � Time Out: .�� Page i♦of <br /> ID 16-24 (21 pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />