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SAN JOAQUIN COU, ' <br /> 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 /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: OL #GF Date: <br /> Address: 1,")1176 <br /> /7KA C e�7 1 City: 6� n Zip Code: 9 �S <br /> Owner/Operator: n u ^_ x-to Telephone: Z <br /> Program Element: O Off ' Program Record: R O D '7/ D Inspection Type: -0/7"O <br /> B180 Posted 0 Yes 0 Rermit Posted. O Yes 01 Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Uzi 87/ <br /> L&n L A),241 TO S l y 44z D 0 /1l 5 t�{ri� C4 0- <br /> Yi`Ly� �"�• <br /> `�'LID'fi1 �u.✓ mit <br /> / X007 <br /> � � t'U fl-r � �p✓ Q./�l W at S� w tr m LL'tS . <br /> 'XI 4ia'm k 5 iJ�A Ga- <br /> �? ;i:700d Sa {c l*n aLass 4c%, t -7z- <br /> �{, D 6 f-a.,'yr.�d /�,at✓t co �b�+t fit'-�•c -- <br /> O K 40 Lss(xtc Qr,c` -P,.t cs 2'1L4-crl . <br /> Item/Location Temperature Item/Location Temperature <br /> Q bl z �J <br /> Food Safety Certification Facility Hot Water Temperature - Warewashing <br /> Name: and Sink: a� >F hlorine: Ppm Heat: eF <br /> xp.Date: arewashing Sink: 'F uat.Amm.: ppm ther: •F <br /> Received By/Title: <br /> l <br /> EHSpecialist: me: q63 _ 7 ? <br /> Time in: $;(4 Time Out: 15,5 d Page/ of ) <br /> EHD 1624 (2-pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />