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SAN JOAQUIN COUNTY <br /> -tea .o <br /> P: .1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> •cq�/Foaa�P Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sioov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: I 4 0 a n S ' "540ti roil I Date: /() Z2'12 <br /> Address: 18 4 6 J)_ I I th S + city: r U r Zip Code: clS 3 ?L <br /> Owner/Operator: Telephone: 2,1 q-,5:7 S <br /> Program Element: Program Record: Inspection Type: <br /> : n <br /> B18O Posted C Yes G No Permit Posted 7 Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 1 r r s . nICS <br /> �o <br /> 4h; s r o, a:ce. 4 , 614 <br /> _ <br /> '.r - 5GN h Ytn ' n u { �/ E f. �/,,, 4H „ <br /> qI IF re O 61 <br /> 3 0 L L4 r <br /> Vo n Ci C 10 a c. h f CC 4ti )h a <br /> 5A1A 14 ICA C_ Grrpr -- 4c <br /> 4 C) uV Ue) n Ora . I )r,, > <br /> 5 ( Gr <br /> G <br /> p� I � CurrPn �l S'. n <br /> ' ler- 00I r, .�� <br /> ,a su. Ytem/.Location��), �'-+Temperature ca <br /> Trbo- Air Y iF -Fu r1I o- Air ! r ( ).S2F <br /> yhr oc,) <br /> Food Safety Certification, Facility Hot Water Temperature Warewashing <br /> Name: C t l� S N T Ii.^ Hand Sink: of Chlorine: �-0 ppm Heat: =F <br /> Exp.Date: � I.)v, ls arewashing Sink: /Z X36 of uat.Amm.: PPM Other: of <br /> Received By/Title: / <br /> EH Specialist: Phone: / / S� <br /> Time in: I Time Out: •b O PageAf <br /> EHD 1624 (2-Fg) 419112 FOOD PROGRAM OR CONTINUATION <br />