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SAN JOAQUIN COUN . <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.orq/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: Date: i 0714.(1 G- ,s1 ortC -')-P-OciuLfz_ 4 7-1- 1) 0 2 --4"-- I <br />Address: 4-. E _ cq la I -1- City: 40cALtun Zip Code: Cic.)2_06 <br />Owner/Operator: <br />-1(7191-e- More/R.0 Telephone: 60Ci ...._ -14-44 <br />Program Element: lu-ko Program Record: p IZ (.) 7,1--C6t CI Inspection Type: p•Arf.i rk.e_ <br />SB180 Posted n Yes 17 Hermit Posted 0 Yes 0 I Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />11 i-& x 01-1 i olg i s t-0 1-- on c-€. (0-m of TeRzfan <br />-h n.f2 -1 i-\ Te cAlun _ <br />-Icsvie tc-T-rT) i- For Ue, --4di4444-- <br />_ <br />em/Location Temperature Item I Location <br />,- <br />Temperature <br />Food Safety Certification <br />Name: <br />_ Facility Hot Water Temperature <br />Hand Sink: oF <br />Warewashing <br />Heat: °F _ <br />'F <br />Chlorine: ppm <br />Exp. Date: Warewashing Sink: oF Quat. Amm.: ppm Other: <br />Received By / Ti , <br />1.I _...' <br />--. EH Specialist: Phone: .40( i".16111 g 01 6 - 3 C) <br />Time in: — gA._ Time Out: 61 , 1 6 Page of <br />END 16-24 (2'p g) 4/3/13 FOOD PROGRAM OIR CONTINUATION