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Ck"'" SAN JOAOUIN COU 'Y <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 05205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> 4�i�OR <br /> F©OD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Aa_kn)ran -- r7- rtk4 Date; —U-1< ' <br /> Address:., ; I -D OrOLL (> City: +'1 Zip Code: 4)`J ao5 <br /> Owner/Operator: ` �V1 G Telephone: (4(03 _9 24l 3 <br /> Program Element: } �O Program Record: CDC)03 inspection Type: 0—_U <br /> B180 Posted Yes` No Permit Posted Yes No Re-Inspection on or After: �- <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> L rr oo _A_�'A c n�b -k) r�, q«�t-ct ri-f- <br /> CO , 4 <br /> V rl+'t Yt Z m, -bio n --cov, +r,4 Sjol I dA d na-H r_a_ r ,SrH-QM . <br /> AM ;5i^X5 W-e-re- d rra^ L Cid <br /> K-� t�tr -4-t- h rw on I It g I I to M q n d+.ria�-e w4 a n cert <br /> Zvi) w ngea LI 1 1 U r►n k3e +'' u,t o c cue 14 <br /> u)a +b L<.� kzr -eq ker b0_-'.5 V,4-f CUS40rlKef-5 <br /> a,r� COYh- C.6I.c.vtitrt <br /> r-e o -F rt-3,1 a r . ' ii e-e_� Ut,w k-o- <br /> Qtr U::' ��vt.3 ff <br /> 6�12'teiQ <br /> Item/Location Temperature Item 1 Location Temperature <br /> (— <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: a- — Hand Sink: IF Chlorine: g ppm Heat: QF <br /> Exp.este: Warewashing Sink: 'R IOuat. Amm.: ppm Cther: of <br /> Received By/Title: <br /> EH Specialist: __ M Prone. 53- <br /> l- <br /> . <br /> Time in: q 1-53 ! L Time Out: , Page of r <br /> EHO 16.24 (2-pg)4013 FOOD PROGRAM OIR CONTINUATION <br />