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SAN JOAQUIN COUN' <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ..c4c ddari�p.� Telephone: (209)468-3420 Fax: (209) 464-0138 Web:www.sioov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: TG au U L US V U) [G ne 5 ! - Date: (G�3b�1 y, <br /> ddress: �jO� -)'h 5-'- City. Ml.t. �tv Zip Code: 0115 <br /> Owner/Operator: y S R I CG 2�9 ( Telephone: 2 _(p2 ' <br /> Program Element: IAGO Program) ,Record: C9 Inspection Type: <br /> 8180 Posted D Yes ❑ Remit Posted D Yes 01 Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> ( Wdd cANnAcs nokA Z one orte, of Tham 1lD c <br /> k-�e oi- 5 Ujd . 'M : kto3S <br /> -Fciod dZtt>✓1w COOS M g>� <br /> Item/Location Temperature Item/Location Temperature <br /> le I�G� <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: v;Ctcgz In and Sink: (JU of hlorine: ppm Heat: eF <br /> Exp.Date: I 1 arewashing Sink: 1.2-0 eF uat.Amm.: PPM Other: eF <br /> Received By/Title: �« r, / / <br /> EH Specialist: tt Phone: 9-00( <br /> ime in: ;( Time Out: _( � Page of <br /> EHDI&24 )2"pg) 4013 FOOD PROGRAM OIR CONTINUATION <br />