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SAN JOAQUIN COU Y <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> ��FORt� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ATt rta '116 hi+ W -1A Date: <br /> Address: Vj �-f YY',e: 1 City: S1� - Zip Code: <br /> r T7J <br /> Owner/Operator: Telephone: <br /> '�r�n c,-v. ►ham� K-c n S 3*--)3 <br /> Program Element: 53 Program Record: P GJ 24-7 4.7 Inspection Type: <br /> SB180 Posted No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 'A e Yno v-e o% d 5e+ Q,o Ot '-'f)Lef- <br /> C.G Lw <br /> �a�r S re r be n -4- ad <br /> IFn <br /> 'rl VT_• al oo v- 6.e rej 46 U r -e)7,e r <br /> 01 nd Wi Cop 10 ru as A-lLe <br /> o4 cc U�(116C Z�.S' .4 <br /> Item/Location ; Temperature Item/Locationrat <br /> Tempeure <br /> COQ 4,r LLA 0,0 <br /> os <br /> ........ <br /> r Yu-e-- 310F <br /> d,yo�r J...wt h•e r� l0 d <br /> Food Safety Certification i F cffl"Hat Water Temperature Warewashing <br /> Name ,(L �CV, ►L„ (� 15 Hand Sink: ��,1 F Chlorine: ppm Heat: F <br /> Exp. Date: arewashing Sink: ,F IQuat. Amm.: ppm (Other: °F <br /> Received By/Title: II <br /> •moi tel. 2�'i+w� <br /> EH Specialist: OLA^ Phone: ,S3_?? f� <br /> Time in: 1d;7� Time Out: O . 6 v Page el - <br /> EHD 1624 (2nd pg) 4/3113 FOOD PROGRAM OR CONTINUATION <br />