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SAN JOAQUIN CO, I•Y <br />?� ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />.., a Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www,sigov.org/ehd <br />,CIFOiRt <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />- S `--�yl. 5 . Date: <br />I I —t.9_1,4 <br />Address: <br />YY,-. City: 5-b _1v zip Code: <br />�`� �L�', <br />Owner/Operator: V <br />Telephone: <br />QAm4 rn 4-10 <br />Program Element: I U7 -L+ Program Record: PP -O 5 Z.l31-3 Inspection Type: <br />e) -e. <br />8180 Posted Yes G No Permit Posted ``QYes ❑ No Re -Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />, <br />CS l_ T food . owl <br />6 kla LL <br />i' +a <br />I49 r)&h-P- CAC <br />r� <br />i� n +i;UKAS <br />A.CA <br />pi <br />-TjjakMd & c4ce✓1 <br />Ln5icls. rw p Si..IC... LOh.en -+haw i U ae. <br />l,a tfunrL.ivt uyaV•'e-r MmKIyylV"l 1j - <br />® 4 t <br />h04 e✓► )? 6hAU 12L� <br />he <br />me <br />V- o (..a. K <br />no CoL n h -%r clan r <br />due-ts- <br />-e e u ri 6 pe ru <br />r ro du -e -I5 a+ -6"F o r <br />Lo w•e.r <br />YL. n1AV4Lci CAn <br />r • -A . <br />51n r CC' <br />u�0 s n <br />ScoO s - <br />-T- y <br />f a.e.Ks rnak r t! i <br />I u1tAY- <br />r ac-cLLm-c a-Hcr. a n 6-¢A un5 of <br />. "R -c mov2, <br />ofd <br />- <br />U e.IC4 TOw e I <br />-i• m C I <br />- -Item/Location :. <br />.. <br />emperature.,,;_ <br />,. . Item:/ Location ;: <br />Temperature;; <br />r-FeL'-e, <br />C <br />•ear C.00 LP- it / 60L' r <br />'7 <br />'-door Ca �Y <br />14qr <br />f7yorjA- <br />3C4 <br />('i MRO � <br />-Iv > <br />LI b`t <br />i door <br />Ci 11- <br />3 � B A . - <br />Food Safety Certification <br />3$cr 1 -7,_z7_s. �..� `1 i:4 <br />j . Facility Hot Water Temperature Warewashing , <br />Name: <br />_ <br />Hand Sink: :FC loc e: O ppm <br />Heat: �F <br />Exp. Date: p_a _ <br />�! <br />arewashing Sink: i ,F Oat. Amm.: .Zno ppm <br />Other; o.F <br />Received Ely / Ti le: <br />EMm <br />H Specialist: off li <br />Phone: <br />ime in: Z5 <br />Time Out:'1 z I '}6 <br />Page of <br />EHD 16-24 (2b pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />