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SAN .JOAQUIN COUP' <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.orq/ehd <br /> °<<FoaN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ryl w w M ryDate: q'r Address: C-0 P City: T >/v� Zip Code: <br /> Owner/Operator: S I„�r ICr, t CI_�/ Y� V f/1 Telephone: 7/n <br /> Program Element: V ltj�l l.0 Program ecord: al �C��3 Inspection Type: /'�pt� <br /> SB180 Posted Yes n No Permit Posted es 7 No Re-Inspection on or After: Y YV <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> V7 ffi-e k7 S1_r <br /> qc Q G Y vi <br /> �` G 'n d nt Ic C-(vkd/ i <br /> >� n ry1A vi yvuvvy� Inrlu( a vl`� <br /> co <br /> Item/l cation t Temperature Item I Location Temperature <br /> 71. Y1Wit1�l 11 v <br /> kl 00 dl41 v1.G '� fkt <br /> Food Safety Certification Facility Hot Water Temp6ature Ej Warewashing <br /> Name: ,/ Hand Sink: u °F Chlorine: ppm Heat: JoF <br /> Exp.Date: /' warewashing Sind: °F Quat.Amm.: ppm Other: <br /> Received By/Title. <br /> EH Specialist: Phone: (7 <br /> Time in: r V " �— Time Out: ' ` Pagery of'L <br /> J L <br /> EHD 16-24 (2n0 pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />