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SAN JOAQUIN COUNTY <br /> ' ENVIRONMENTAL HEALTH DEPA, . FMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sogov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: o 777(1t 77 Date: IV <br /> Address: 21- Vh r City: c-+fi//�'1"Zj� Zip Code: <br /> Owner/Operator: PK ` V4& J 1 w 1 Telephone: O <br /> Program Element: I Icy; '` Program Record: 0600 3F)5_39 <br /> Inspection Type: CUM 1s Irl 1+ <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: IU 1 <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> -tzt 1e OVNd Me aaw 1")IZ> c,)Axeew <br /> TOO i 15 ggr,�(Nnii 1 V valb <br /> 1 C10 �2 C oC,)(_ Ma C.aS ort vlwCa v: viol <br /> o Iry L��� oidul Gh C uh tu2-GTh <br /> %Aepy. \0ey U c s are <br /> w(NkIN Si Cock- rcoC* og IhQ., X106r <br /> d r <br /> 6 / % u <br /> v �veS <br /> 10� . Cc4ATM cervi c.L9- WCJQ /11Q <br /> Pkwovo a 6S -Fp1�4m es <br /> - 4CAn-f urh Cj Cin FQCA1 C <br /> Item/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: °F <br /> Exp.Date: Warewashing Sink: °FQuat.Amm.: ppm Other: of <br /> Received By/Title: TS L-0 <br /> -V n KkccLo Q —tg r I l <br /> EH Specialist: ` D Phone: 9(-M- f G 6 <br /> Time in: Time Out: 9 . 5b (J Pag of <br /> EHD 16-24 (21d pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />