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SAN JOAQUIN COUR <br />X ENVIRONMENTAL HEALTH DEPARTMENT <br />_ 600 East Main Street, Stockton, CA 95202-3029 <br />• �;., m �P • Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.slgov.org/ehd <br />�iFoaa <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: (ACL W I ( UO <br />Date: <br />20-0 <br />Address: c1 uwlva Ori 3? �U <br />City: Zip Zip Code: <br />p <br />Owner/Operator:phl.I5l9- 56KHoA) <br />1177 <br />Telephone: <br />8 OO <br />Program Element: <br />14 (21 Program Record: 1?400 5SZ5 �J-1 ' <br />Inspection Type: <br />19MA) 6 <br />6180 Posted b Permit Posted - i Yvs-7Ro <br />Re -Inspection on or After: <br />111) 66f' �&` <br />EHD 16-23 (2n4 pg) 11106/08 FOOD OIR CONTINUATION <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />i SMM.f- cjiP5 AT t.<- 1N r�oXES T QF H zo �io<-ml <br />- CAWLE>ItivA cIF Avb Ahw-48Sp28 7- <br />No)22 : w ca- W BOK <br />IST z� �flti ° Kt� ��/��19RDou5 AS 'Iac <br />I » TK, s tt u/T <br />w. fz cr h��S D— u SE 41 -OP, ,ESS n7 -,1,4L r-��E <br />I T>.v T6. At <br />I of - <br />f14MW <br />14 MW<b/IMGr A1?0i,rVn MCIP5 rN %�Ej'� itJITM �oIV7^IiV4du5 *ILt <br />rn 7R I w, J'lqCD IA16 ,(1 I SS' A4 p T o Dooculft To mof S <br />AM/R ooT ti N Av_ Qct 6 7' 0i3(Al <br />tdyt TE PN mel - <br />111) 66f' �&` <br />uD /4T %' s!N oNTl�vctouS�c Cow 77i� <br />HEN RoPM c <br />'5MA 7D r, <br />4/0 /* 7- w gn e M 30oote ag 1347Wcool S/NK I U� E E.CFCTJPIQ <br />T-0 0 N t is <br />I /lf r�17//9 RrA <br />o 4Q <br />- <br />���!^ 1v �y /,� ��--r�2 � y ►fir <br />Item/Location <br />Temperature <br />Item I Location <br />Temperature <br />Item / Location, , <br />Temperature <br />L IOuoR &0A <br />2 <br />- <br />w,J- K - IIV Sox <br />Food Safety Certification <br />Facility Hot Water Temperature <br />Warewashing <br />Name: <br />Exp. Date: <br />Hand Sink of <br />Warewashing Sink: of <br />Chlorine ppm <br />Quat. Amm.: ppm <br />Heat: of <br />Other: of <br />Received By / Title: <br />EH Specialist: <br />I Phone: slid --Y%47 <br />Time in: 1: <br />Time Out: �6tN Page' of <br />EHD 16-23 (2n4 pg) 11106/08 FOOD OIR CONTINUATION <br />