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oP441 N. C SAN JOAQUIN COON . . <br /> N_ ENVIRONMENTAL HEALTH DEPARTMENT <br /> : • X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> 471!6"a <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: � ) C aC Date: <br /> Address: '"L I S r i t City: c� �r� Zip Code: it ,+ ^ <br /> 77 Tet <br /> J e <br /> Owner/Operator: Sr7 h h �l et rn P 3 6,044 Is n( Telephone: <br /> J 'y,•• <br /> Program Element: I ! 0 2 Program Record: S 6 �S y Inspection Type: GO _3 t4 <br /> t7 ,v <br /> 8180 Posted ❑Yes ❑ Rennit Posted O Yes ❑1 Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> c tV $3 $ 5 <br /> FrOvIlpfr/c Y m � ' 7r Q GI - <br /> erov� 0(c, S dC clo rjfj <br /> 0. <br /> A) ,)),: OC45 ��m," ) I i n sa C �n4 c.o�vane G. )L <br /> 6,31 <br /> Fina; �h <br /> Item/Location Temperature Item I Location Temperature <br /> do ()( 7717- <br /> Food <br /> 1Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: l LI .F hlorine: Ppmeat: .F <br /> Exp.Date: arewashing Sink: .F Quat.Amm.: ppm ther: .F <br /> Received By I Title: x ,�� <br /> EH Specialist: ' �� � Phone: <br /> Time in: Time Out: Page of <br /> EHD 16-24 (214 pg( 43113 FOOD PROGRAM OIR CONTINUATION <br />