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e44!n. SAN JOAQUIN COUP <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 4 a Telephone:(209) 468-3420 Fax: (209)464-0138 Web:www.siaov.org/ehd <br /> CIFd�� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Y'U aAk --tt a L Date: a_ 0 —IV <br /> Address: City: Z7f Zip Code: <br /> 25 Y Pc�2 <br /> ( E Telephone: <br /> Owner/Operator: r U <br /> bo, - <br /> Program Element: Program ecord: R O Inspection Type: <br /> u <br /> 8180 Posted a No Permit Posted a No 0( d, Cyd I Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> rz H oo.t r e o o r F n.o� <br /> O YN 4 t 11 o+ 'L 6A of 0 ou Lm-6 c-r_ a.+ a LA -; /'res -, <br /> ,p S a or p V'-e-V O Y-A -f--d m -.L0 11.1 44-10-+ <br /> W aS Lo r'A- 1'1."0 C) <br /> m <br /> 2 If n2A c\ e Y Le O-ri OW V r <br /> � hx Sty e y <br /> he <br /> �to <br /> Item/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing _ <br /> Name: Hand Sink: eF Chlorine: ppm fHeal: eF <br /> Exp.Date: arewashing Sink: of 10 <br /> uat.Amm.: ppm ther: aF <br /> Received By/Title: <br /> EH Specialist: C I_ Phone: O)E> — 1 <br /> Time In: 1 O•�O Yom^ 0 Time Out: Page I of <br /> EFID 1624 (2n°Pg) 4W3 FOOD PROGRAM OIR CONTINUATION <br />