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SAN JOAQUIN COU. f <br /> W ., X <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . �q.. .�;;p• Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.s4gov.org/ehd <br /> LI FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: t:\ VUVjA L M� Wt ltQ(\j Date: i,)/_j 0 <br /> Address: 1/�-A 0 S, -v 1 tp&T04 o City: S fD Gr-to n Zip Code: clcy20r_ <br /> Owner/Operator: :E Nil;U on p 60\Ofi G Telephone: 4(06_ziy62 <br /> Program Element: 1101Q Program Record: r VC t (00&d-0 Inspection Type: Re,—jhs'?e(_-"on <br /> SB180 Posted Yes No Permit Posted -Yes No Re-Inspection on or After: �, �NQQ ,l` <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> ® ob ecl I;,v.6 X \n ide 6ruw i- ak M It i-V <br /> ((M-roue, WPM1- 1, -\Su \wz hu oc.krwcG) next wa <br /> h0:� <br /> 2 6 b5 dl �� s \r <br /> 3 S�m� 5 Ur sfi 11 unCv tIT-4ed r\G -Fce a n 0 C vzP�s , <br /> t6zS (W'P ed of G 11 -fi-rne-S. or <br /> oh e cih in -VO2 -fcx)d FrOp area . C 14n <br /> 5 3 dr Trvz Cadw afi i arm s& Utas cn i <_' a+ )'U&+ to <br /> CY bzIcw +e0 <br /> b c i n S af-e_ b P" duCi- fiup-e v&2 t:n fix -rwn <br /> 1Uin ne* canjct(nerS, wit, w\,eeV. 1 n5k_le <br /> ON dEqW CA,66 . <br /> Item/Location Temperature- Item/Location Temperature <br /> V2 1 d r s ur "IeA- I�r <br /> '� dr T 2 Tuma�e S -hon F ---- - <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: P— Hand Sink: of chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: °F Quat. Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: - C�ta� Phone: 00 _ `i'5(-)— 34 & <br /> Time in: 2� Time Out: 1 I :(0 Page 1of <br /> EHD 16-24 (2nd pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />