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" I" SAN JOAQUIN COUN r t <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />. �q.. A ;P • Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.s*gov.org/ehd <br />�/ RORN <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />A)IA)(1 Z 16;b <br />Date: <br />�, ZV.0 <br />Address: 22y2- 612*vTL.Ik.,g #104A City: <br />7—kjwy Zip Code: <br />n'S ?% 7 <br />7� <br />Owner/Operator: 5 k / R <br />13 <br />56 K /:(p /V <br />Telephone: <br />906 <br />Program Element: /600( <br />Program Record: Sado <br />Inspection Type: <br />p/.�'U <br />B180 Posted of f , No <br />Permit Posted ! I -Yes o No <br />Re -Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />rt07' 4)//-mk /VorJ az&e - loll /.L 5"^<S- <br />Tt:�'SE ro or*w. <br />11) 5/V*Q. IN a-0,0 1AJ 649AMR F Sr W <br />:50MM2 t <br />jguR9 &16-4Av jWC /SND av- 9L3A e <br />- <br />U 2 &Vt" IN MOP t rmc A 2C -A' l94.,D 3itq -Vomt %ltv <br />l 7w dovnkva � s dlowAa <br />® j7etr►t /►ala ,tiG rssrrte;. P d �/mQcv Ta �iP Sot/K 2�� / /�R°PE4,c <br />IN /f T r� /� b. •¢ � <br />D lVeri l0� iv uh 6 so 'Or TIM ?*W&,y/9,t�D <br />514't <br />MV'>e #'F/Al 4�V <br />Q Ov &0 725 f6-7zte 70 600 6, M /a Ir S T OIKIe / <br />►,�. / Aeo w K ivEw Wrl., n fox0i S '*jyt> <br />P6 <br />dqA1A1kM, F2,h �r -E t�R,< fJNirt4C.te ti� r c� <br />rn�N r <br />a K 717 /55, <br />ItemJLocation , , Temperature Item ( Location Temperature <br />Item / Location Temperature <br />Food Safety Certification'.' " E. <br />Facility Hot Water Temperature <br />Warewashing ` <br />Name: <br />Exp. Date: >^ <br />Hand Sink: of Chlorine: <br />arewashing Sinof Quat. Amm.: <br />Ppm <br />PPM <br />Heat: 'Fk: <br />Other: 'F <br />Received By / Title: <br />EH Specialist: Phone: <br />Time in: me Out: <br />11;3n. All <br />Page / of <br />EHD 16-23 (21d pg) 11/06/08 FOOD OIR CONTINUATION <br />