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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.sjgov.org/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: id404,14 5c0 i,.. byk_14_1,-„,(t) I Date: wet ft 7 <br />City: (1_ 164/1/4r Address: ixttio s . fljierevt. <br />cn,-1../ <br />Zip Code: eth---Lob <br />Owner/Operator: 12444 Xk c 1--- Telephone: <br />Program Element: tb&Li Program Record: o c--5— 1 b Inspection Type: plekAA,Sci, e <br />SB180 Posted Yes (149 Permit Posted (Ta No Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS ___A•iiiiiiiiiii•L_AL__„ <br />\v-. V... t-k 519 t <br />'C-tgiCAlti-,SAkT-r-su4kiki--y "-e)t-e, rbooe-s (2r-4ft/45 c Coo .514+•--Ne.,-- cle.4."-‘ervicta <br />-c—t,c‘ \--\\A.) co•e43 sAvs,c5,.,s .,z -elr ev...i,.c., <br />d1/4--J4-)ev\re„.y , kK-UtokAii&ALD e •klm-; --1,0-e-. <br />.e, ovc t c-' <br />Item/Location Temperature Item / Locatio Temperature <br />Food Safety Certification , Facility Hot Water Temperature Warewashing <br />Name: Hand Sink: .F Chlorine: PPm <br />Quat. Amm.: PPm <br />Heat: <br />Other: <br />°F <br />Exp. Date: Warewashing Sink: oF °F <br />Received By / Title: 04,00....:,..ser.....„, <br />EH Specialist: <br />---- <br />Phone: <br />Time in: Time Out: Page o <br />EHD 16-24 (2,4 pg) 4/3/13 <br />FOOD PROGRAM OIR CONTINUATION