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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.siciov.orq/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: n rot to weita <br /> <br /> cLer., . 7-6 Date: it/ 2/ ili 9 Vyt) <br />i Zip Code: Address: IA b ciwA <br />1,41.0ne• <br />City: <br />Owner/Operator: tIA Telephone: I <br />IV GI-A(.)...ev?/t <br />Program Element: (., .program Record: ft...0k to -IA ci U Inspection Type: pelm 44 <br />SB180 Posted e No Permit Posted es No Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONSiiiillik ' <br />if. yefq\A`-t, 6 <br />— / -1--oo 0- e., ie.AA A SAA. ._ ..k - A ..1... i 5111vva <br />1 <br />S <br />I <br />it dr-bvvc8- 5 10,-/, i)-1)(A,vr4-- trk.. ci,dowv.--/ <br />v\t) •Tvc_Aw for 0YreGiAei4 tRev“, cnn g-i-4( in S511,s Vvev•-e._ <br />b i.., can„,,leto• ye/ 1,4/v..4-A4:1\13 <br />* thr)altST-& taeryae,S _ . <br />5161/V8- CAV$ ork- tmlike.c.„. 4-1.-41,14. <br />DI:4 aw-1-6;,pe.... pro, eAve.e -1-.1 <br />r„,„?.,.. cpvykk- <br />(,) <br />,... <br />ok 4.0 (19,,c,c4 otAcc. <br />Item/Location _ Temperature Item / Location: Temperature <br />1111116jood Safety Certification Facility Hot Water Temperature .,i1D-16.. Warewashing <br />Name: Hand Sink: 0 F Chlorine:PPm Heat: 0 <br />Exp. Date: Warewashing Sink: . Quat. Amm.: PPm Other: 0 <br />Received By! Title: <br />EH Specialist: <br />I I' <br />Phone: <br />."419q) - 033 <br />Time in: in: Time Out: Page of <br />EHD 16-24 (2d p9) 4/3/13 FOOD PROGRAM OIR CONTINUATION