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OP..-°"�" SAN JOAQUIN COUNTY <br /> .-....0 <br /> ).•m '�G <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.s4gov.org/ehd <br /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: - PV'I r 1 N Date: 10/1,Y 14- <br /> Address: 940 City: S DC_jp t -l-� Zip Code: <br /> J rY�r� <br /> Owner/Operator: N Ck C, n S ,v Telephone: N6 <br /> Program Elemen • - - Program Record: tp /S 1 Inspection Type: •+ <br /> !S13180 Posted Yes No Permit Posted Yes No IJ Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS l <br /> I ` ` hi n11 -con 1 - t <br /> C..'bledrNa tvcAcusi <br /> 2 0,2- A00-1 ore tot 0-61Wj . ckor) <br /> 3 t o tt - Cwt UI on <br /> Coo <br /> Twe qre -lea aLI ,"' IMPLC t)IO* <br /> rLwicte G 1 n-f rt Stn "In1 I wee-V . <br /> (o O acy- n s • OH eA- fW <br /> - S 1 . <br /> n o &n10CUCZ tv vv .r <br /> Ord S <br /> i - lit' qqJ all eS i n 3v s_ <br /> t��� k")m. (?e QIn dust) ` k- �v cT)e <br /> Item/Location "Temperature .�.F "` Item/Location Temperature <br /> '��111� t n Cody I`F <br /> i p-r o <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: ( QU } ,1 Hand Sink: I U 0 'F Chlorine: t�� fl ppm Heat: o f <br /> Exp.Date: a r� 1I1� arewashing Sink: 'F Ouat.Amm.: ? 1 ppm Other: 'F <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: C1 . Time Out: i� n Page2of yy <br /> EHD 16-24 (2-pg) 4IN13 L FOOD PROGRAM OIR CONTINUATION <br />