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SAN JOAQUIN COU. . Y <br /> z� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �q. marc Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br /> �lFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: L4- c t.; A-z-py-4, Date: Iq_Zq_ <br /> Address: �f 23re;.-7 J ne/ City: Zip Code: n ,5 -7 <br /> Owner/Operator:' Eli ,Z�b� 1 I -4, I�mA rl Telephone: _I� -1283 <br /> Program Element: �D�-3 Program Record: pp D ���Jl� Inspection Type: 7ZA, _ , <br /> B180 Posted es ❑ Permit Posted yYes ❑1 Re-Inspection on or After: Ll)Q <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> + ob-se r V.<- h-t 6 h ^-,a- u •� 1,ru�--� <br /> r�4yw <br /> +0 DYt LAt n CAV55 Con 4-e,rY1.4 n.ot_+i p rl <br /> I.o pier I i h+ C7na) h --owCe S z e . <br /> Lt hA'� h el I.c d Vj_g_L4(_ a <br /> rd too rs via l Is ' 1-.,-7al r_e <br /> U nsn ea r) Vv� <br /> v 0 w i .e I V-e hot vle. .5 CAt-tom <br /> CkAol', b — y GI n <4 -P-C d-e J . <br /> a-t Y'i o Y' /,-r-o Y 0-F- o U rs cl- e« , <br /> Y V ki 0 A. / L q_A n Ll- 5 aCg N <br /> (9 54vy-i n .S c.Y+ c_ol ►-d- b oa <br /> -IFS" rye t'o c U-9, rx, -ter�-�- ► -5 . <br /> So wl c c UO-k r +h Y-14- ou+ • U ms <br /> -1- <br /> w o %n r ea-t,rao m . <br /> 10 vfea 0o r"!,,c a no✓ y nzGt r'" 4m._ DC-FVL� I CA-Q-a <br /> Temperature Item I Location Temperature <br /> __._w.._ ,- - _ _,_._.�.._. ..__ �._.._._.___ <br /> To n Lo a 8.� L 3-7 or <br /> 1t - 2cqt --- - - <br /> �_YM.e..-_ --- - <br /> Tier-e_ <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name:- and Sink. C lorine: Heat: <br /> °F too ppm F <br /> Exp.Date: / rewas 'n Sink: It <br /> .U— Ot e <br /> �aZ7 °F 11001313m3-1O0n /?j °F <br /> Received By I Title: a' <br /> EH Specialist: j L Phone: <br /> Time in: 91 1 Time Out: Z;u S PageZf ,z <br /> EHD 16-24(2^d pg) 4/3/13 I FOOD PROGRAM OIR CONTINUATION <br />