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SAN .10AQUIN COUN1 r <br /> Z{ ENVIRONMENTAL HEALTH DEPARTMENT <br /> _= 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> �lFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: � ' G n a Date: &; 304 <br /> 2- <br /> ddress: 1, T?A) h I 5 City: I cr C Zip Code: 9s3 A <br /> Owner/Operator: h G M G ( ,t .i Telephone: y b y 3 <br /> Program Element: J/ Program Record: S� 7, c� Inspection Type: e _� S C'C %o <br /> �SB_18OPosted ❑Yes ❑ No Permit Posted ❑Yes ❑ No / Re-Inspection on or After: t F <br /> OBSERVATIONS ANORRECTIVE ACT . <br /> 1Gui �l <br /> ,I G o e7 0 it rf 51h ou hcu ` PS eC; a <br /> eyfrA r >< raorn) . 1 olr• 1 femow'e � c �4 <br /> 2 V ;5hv) c, sbor rmrin ; n I C' At less 4'k C. I 0'apM <br /> prFeCj ► rnMeo1%cr 41 rin b •r G Ars cled . <br /> 01 - C �, :f 1�0a e,- noh SANtK 0'n, 6C rrec / <br /> VJq <br /> U - v UrVe/ "1,0^ all OI lGh <br /> U)(4 05 Gr Ocrs e�t� ,-� lt�ar rock <br /> IQGn <br /> 01. dCGvpr n (:1( ,� l�,re, CcrfPC k <br /> 0dG <br /> .'cc <br /> L ; U Outer I i r1 c r0u 5 1 Sia )C kee g hc.f Ld G ler <br /> 14)aah <br /> Tempera e;_ Item/Locatio; Temperature <br /> Food Safety Certification!WV Facility Hot Water Temperaturew c� ,Warewashing <br /> Name: Hand Sink: of Chlorine: r C ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title. <br /> EH Specialist: hone: q t_ 3/6 '00' <br /> Time in: o U Time Out: 0. L Page/of <br /> EHD 16-24 (2ntl pg) 4/9/12 FOOD PROGRAM OIR CONTINUATION <br />