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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.sigov.orgiehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: Date: 1/7c i/ti <br />Address: --v.ttkto citit <br />S'Ve <br />City: Arc/00o\ Zip Code: oistec <br />Owner/Operator: Acircpyt„ .fr/OrerC) Telephone: <br />Program Element: tt9 L Program Record: prz05-1_,441. Inspection Type:ri) <br />Ke-4044-; <br />SB180 Posted Yes Nt Permit Posted es No Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />1 A-4,"t ik.b f c wivk 4 •,,tAp.c..:.:1.-- cokeA-vis yn.)4,4<, <br />doi-leAti,th. C,A,',IS Clc osAfip( 6,;3 .1 40„-ee ctv-tfcc,f41 oil lit, . rvvd, <br />01/04sed kWm ‘.,:4-vvv: v otti .:r-cd1 Aliv4e &" Aift,t1 \_)c4f ,,P- /1.1_ i <br />COMOV ACfC110 <br />4 Iir-A(543 -i" 1,o vklov',_, 1")4 1 \teep k , <br />()crt4r. g,,r 1,Aok A AA„ctill „ \ Covr-A— <br />(;0iN —4-kA (97-S0 t <br />Item/Location 1 Temperature Item ILo atIoi cnperature <br />Food Safety C9gification Facility Hot Water Temperature Warewashing <br />Name: Hand Sink: .F Chlorine: ppm Heat: °F <br />°F Exp. Date: Warewashing Sink: .F Quat. Amm.: ppm Other: <br />Received By / Title: <br />____ al • ' ../ 6 <br />EH Specialist: <br />,. <br />„ <br />Phone: ,... <br />, <br />Time in: Time Out: Page of <br />EHD 16-24 (2"1 pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION