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o ..P°"'" o <br /> SAN JOAQUIN COUN1 Y <br /> ....... <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> • 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �q,• ;P Telephone: (209)468-3420 Fax: (209) 464-0138 Web:www.s�qov.orq/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ' r4 I nf 6 r C --'rl Date: $-. 6 _ <br /> ddress: 5 0 Iezilh S ity: 777 CL a Zip Code: CIS 3 7 L <br /> Owner/Operator: J Telephone: �-/ y LJ <br /> Program Element: Program Record: Inspection Type: Ro u ' n <br /> SB180 Posted ❑Yes ❑ No Permit Posted ❑Yes ❑No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> o dt, I d r- a 01 r - h r c,4 ca c,l/ <br /> iUj as ko rY' U int). or re C <br /> irnMrZdta � I <br /> X hob S f u C K 0n <br /> rre c 1 a CIO 44 <br /> ► : C 0 VP / k ; ., 12 1C1 <br /> i n I Wee K. <br /> b r oe 2 e r a hd G h ►ar'o <br /> L11; 10 L s r a -roo <br /> Ve 4odu <br /> Item/Location Temperature Item/Location Temperature Item/Location Temperature <br /> i <br /> Food Safety Certification Facility Hot Water Temperature Was Warewashing - <br /> Name: Hand Sink: ofLChlorine: 4� ppm Heat: of <br /> Exp.Date: arewashing Sink: of m.: ppm Other: of <br /> Received By/Ti <br /> V <br /> EH Specialist: one: 6 ,J 1.4 <br /> ime in: O \j Time Out: Pagy f� <br /> EHD 16-24 (2ntl pg) 4/9112 FOOD PROGRAM OIR CONTINUATION <br />