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attitr SAN JOAQUIN COUN1'&Y' <br /> ?°P�a'sOc <br /> 2` ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �..,. P. Telephone:(209)468-3420 Fax: (209)464-0138 Web:www siaov.oralehd <br /> 94%FOPS <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Arc S 5 h•. 5c tv)o k2600 Date: K-/ .-/ 2- <br /> Address: I To ( 11)1-. S City: I r ar Zip Code: cly 3 ;7L <br /> Owner/Operator: Telephone: $36.;d2 50 <br /> Program Element: Program Record: Inspection Type: <br /> L„11'. nr <br /> SB180 Posted ❑Yes ❑ No Permit Posted ❑Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> G + C+ I r K 3 - L C, -Yl � r <br /> rob Shored 3 -Ccm ) . Ccrrer �c _crr ncl ; n <br /> '1 o a IC 3 . <br /> 2 rov ; Je ct row Q u. s F0 4 <br /> .Tempe,,rat °i Item I Location4" Temperature <br /> ._Food Safety Certification Facility Hot Water Temperature Warewashin' <br /> Name: 1 h 7hIA Hand Sink: ' G v rF Chlorine: Ppm Heat: of <br /> Exp.Date: - arewashing Sink: of uat.Amm.: Ppm Other: =F <br /> Received By/Title: <br /> EH Specialist: Ph <br /> Time in: I O �lC) Time Out: Page of 2 <br /> EHD 16-24(2n0 pg) 4&12 FOOD PROGRAM OR CONTINUATION <br />