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SAN JOAQUIN CC 1TY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.smov.orq/ehd <br /> <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: -fa ( c s VeA 1. it '2- Date: <br />Address: 9...cc,*or...-cAi nci City: cra"v1,.„ Zip Code: oenk5 <br />Owner/Operator: lz cbeAl-b RI icAC Telephone: rIci,4 <br />Program Element: Kpco Program Record: ,92, c cl_ t. el -4_ i Inspection Type: cencut-irrhe <br />SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />Lia.,rk C. \I 60 C)Ct 2— <br />V 1 t-i i i'''-lk k2 b2_ _ -)-32Ci 41,0C1 <br />3At t., 0--- y exrn --\--4-ezA i C\ U.In pott,on c oArriN 17E-C-rA;e <br />, <br />4- tikechari‘coil .c-ev-n-cy/c-6A-Kon an v-1-e_ <br />-X- InSMnick (--51D <br />4L- rib tvilyto..tee 0-- -th-1 <br />-1i- 110 \r 1 010-Vic-k-'C ck-I- -A1--i S <br />0Y-- -\--p ;c.,.Ska_ F-exn-\‘-v- -t-0--- aulc) c--- <br />- -rta geA.1-1 Ge 12r.t,A.e.c--k- --f-vr 1-1e* .i.ohi (AZ ca-cvoi‘-k-cthcA <br />.VACV.c --Vd- upd r V TT\-\-\- kee bEet\ Foci .. Vt Ikt4 <br />c.f2x\r"‘u2, (12 54" - 7$ [G) 2 <br />Item/Location Temperature — Item / Location I Temperature <br />Q - Of VV..7 CUOLO'( CH <br />aeon .A--a \ie. <br />_ <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name: V_Coot--.1.--c) ifz_NCiS Hand Sink: 1 c,c ) o F Chlorine: ppm Heat: °F <br />Exp. Date: •I ,•1 /-2:2..... Warewashing Sink: 1 2 0 oF Quat. Amm.: ppm Other: °F <br />Received By / Title: p.. l' 1 10 r <br />..NW ,s ----, <br />EH Specialist: Phone: r-Ild_co ....._ gek <br />Time in: oi : r-1 l Time Out: <br />‘0 7 kC <br />Page tof <br />FOOD PROGRAM OIR CONTINUATION EHD 16-24 (25, pg) 4/3/13