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SAN JOAQUIN CO TY <br />y` ENVIRONMENTAL HEALTH DEPARTMENT <br />`.. _ '.) 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sogov.org/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />h �, f- <br />Date: <br />_3D - 13 <br />Address:-er <br />1 n 4F_ City: <br />C�Cx,/0n Zip Code: <br />J <br />4 5�� 7 <br />Owner/Operator: <br />h <br />Telephone: <br />4�52_3097 <br />Program Element: <br />Program Rec d: /a -o <br />Inspection Type: <br />n _ <br />SB180 Posted JCYes No Permit PostedA Yes ❑ No <br />Re -Inspection on or After: <br />(P-7 /C�e _ <br />,, <br />1J -2 C1 �S <br />- <br />l'l0 Lc� <br />s <br />-2 li <br />� r. <br />in <br />w <br />G .0,01� <br />Q r --e 4,3 a: ba-C4t- 1-00 r-1 S <br />MAO <br />Go rr b <br />a-'3 <br />1/60 4a,-)Lid'7 ✓1/i <br />9 30-/-3 <br />Item/Location <br />Temperature <br />Item / Location <br />Temperature <br />D <br />n m 0- Q[4 La-- <br />7 u <br />lI OF <br />Food Safety Certification <br />Facility Hot Water Temperature <br />" Warewashing <br />Name: <br />Hand Sink: <br />of <br />I rine: { Pm <br />Heat: <br />of <br />Exp. Date: <br />Or <br />arewashing Sink: <br />of <br />uat. Amm.: ppm <br />Other: of <br />Received By/ Title: <br />EH Specialist: <br />Phone: 953 <br />Time in: <br />Time Out: /% <br />Page of / <br />EHD 16-24 (211 pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />