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SAN JOAQUIN COUN i <br /> Q` ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ��.,• a Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sggov.org/ehd <br /> [iFda�' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 'LT G (,r: w ha I q Date: 2 -25-is <br /> Address: 1 71 f S U r%: o n City: S 11/^ Zip Code: C' SZG P <br /> Owner/Operator: L' (A_I Gr 7)) / I 'f r• Telephone: u I I- 6 <br /> G <br /> Program Element: V7/. 2 J JC Program Record: 3 C C Inspection Type: Qu I i nG <br /> B180 Posted ❑Yes ❑ Remit Posted ❑OYes 0❑1 Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> tr 372 � <br /> 1213 t <br /> GnG S;nK GC inr r 55a f 917 at, •I V1Ole] 4: On <br /> ; r <br /> L; h 1 cover I acK ; ,1pro V: A I LA)fe X <br /> S i3 tnr CJ.' C, n A : r , n 1 <br /> Pfovidy ChIC, ; n 4L -I Siri S in I tJt� t'. <br /> �• d r M: <br /> .209, <br /> ac P rrAi / ar\d 12 Ci Lp ej r K We re 54 / <br /> Item/Location Temperature Item/Location Temperature <br /> I- doo r r 3 'F 5 4-e4AJr4blc /I 7r- <br /> Food <br /> FFood Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: "F hlorine: ppmeat: "F <br /> G cr <br /> Exp.Date: _ _)C arewashing Sink: ' 'IFuat Amm.: ppm ther: of <br /> Received By/Title: 7 ,�../J <br /> C/WNO <br /> EH Specialist: _ Phone: <br /> Time in: Time Out: O Pageof <br /> EHD 1624 (214 pp) 4013 FOOD PROGRAM OR CONTINUATION <br />