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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjqov.orq/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: AlvtAvi,14..., .1i -?-to If) -142k Date: ft/z. 09 <br />Address: <br />(071;:i te4CAL) City: ii.cvt,f 6twoc_ Zip Code: <br />Owner/Operator: Vjetkift, ceiwt )10 Telephone: <br />Program Element: --A b Program Record: fp_oc,--ti t b,;-_5-.. Inspection Type: <br />SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS . <br />ff.- 1-ukqL0 -6 i(A <br />'..(A'Vt ', wli-ovt, ) .._ _A 4t k 'A . A e. t IL A 11 / • .1 <br />— / <br />- <br />IS- kh/VGAC, fs ¶ Ch/krirft,,IS ‘,..4 imst, <br />- „ <br />k VVOrk I is,AvvI (Pit/± gi e'-eVt:) <br />IPINVI t'il .P <br />• <br />,..1 <br />iftAD&VAIrt, \ AVNACAr. 'e/k1Nrg‘l <br />61, <br />f <br />At) (ii,cc,,N ,,t1,4„ irtea4,-.4.,,,,i, s oitia.cd- <br />0,„ gge. -.,,,, <br />+0 44pe, it.„ # -16. hivItt„.-- 6 .. A P <br />Temperature n Item/Location / Location ,Illit----I'mperature <br />Food Safety Certification —/IIIIIW- Facility Hot Water Temperature <br />Chlorine: <br />!Narewashing <br />ppm Name: Hand Sink: 0 F Heat: 0 <br />Other: 0 Exp. Date: Warewashing Sink: °F Quat. Amm.: PPm <br />Received By / Title: Il <br />L," - <br />EH Specialist: <br />... <br />/IP <br />_....,- „/.4.4r <br />Phone: -loei - tl 0.7..;c3._ <br />Time in: Time Out: Page of <br />EHD 16-24 (2nd pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION