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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.sjciov.orgiehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: -Facc,s et, tzi ,,,.y.-0 . 4% 4 57v q 3 i i Z I Date: <br />ddress: 2,6 /- pr i r en 0 tau? City: tzt,;(4?„7 k . Zip Code: v c ,3 cii <br />Owner/Operator: Telephone: <br />Program Element: Program Record: fe oc-3 i i 7.g Inspection Type: <br />SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS ' ' —111 1 <br />-j lc, ci ( .u),_-__ C ,-,t Gt-"Nrf.. Li A...1_ ‘01 <br />(--/ S / 1 / F <br />S 3. a ze,_,,zi,t e (0,k7A7WL,,Jlull-- s-lers at'dL <br />2...---0 ei2 3 0 f- <br />/-1-49 ii-- 7CoW cy.1 Pori Med (3s'7727-66/64 40 ile <br />c/C-T44. /31F <br />1 <br />V i %0 (a.-75A44.d iilo <br />k <br />7 v 2- 0 1 sbe-e- 7 /-4111-cf 1A--c----i <br />ltem/Locatio emperature , .. Act /____....a....,,,,T1....72tion Tem e tu . <br />Name: Rosetb 44 Hand <br />Facility Hot Water Temperature Warewashing <br />, <br />Sink: .F <br />°F <br />Chlorine: pp, Heat: °F <br />Exp. Date: Ca / 2 o Warewashing Sink: Quat. Amm.: ppm Other: °F <br />Received By / Title:Vccsjsoxsy . \)Q/ja-7—VD4 '&1,) 1-1P5 --ki <br />EH Specialist: <br />)-'t' rCL'6 *--j <br />phone: ipy eis737-‘92? z <br />Time in: Time Out: Page of <br />END 16-24 (20 pg) 4/3/13 <br /> <br />FOOD PROGRAM OIR CONTINUATION