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SAN JOAQUIN COU. <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siciov.orq/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />k ,,, , _ e-rt-r, — Lie t.t 5--/46-(3 oil Date: Name of Facility: . pi - i a or) z-r <br />Address: V City: Zip Code: <br />ts, 2( / Pe-?i czi Ptee,2,--- t <,_1 3 s—le <br />Owner/Operator: paret z r Telephori.,!),..._, in <br />visl. e let ? PR t S-3 ii").-/A <br />Program Element: Program Recorll: g Inspection Type: <br />("LH vt r- <br />SB180 Posted Yes No Permit Posted res No Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />I at- )5 ii 0 Atilai 61 i Z - fra, 4.-/A-l- Ze Li" „4,../etv <br />r 41, , A / . I Z• Jr!: • .• .A. . Cr'./ 4. <br />r <br />2- 1) ieg_a_ trim Ce,c9e€ 5-3 F. 3r014 4e/ 0 Laivi.L) . <br />5'14241-i. ieet_1-4_ 1 Ts' F r /+-, i //1— /O Fir <br />HW11140 H-S- /S 1 1 0 F V <br />3 eicsynto s i I't k ggi- py.",v, tia rtA-)a-e Co-nre-cfejelt ct i-v. <br />igutkil dif.47-c-4/e_ 5 ,,,-,pc- . c..),50/-oz2/0, _ <br />7?Li„ ,...7,,s /, (.0./.„ <br />:Z klec ad-ealui 0 \reel-e/ (51_4.4_ kc2 _ 2 0 r7ZAC (1 <br />&frre iss'e-a_as.-dvi,{ 2.0t <br />Item/Location Temperature Item I Location Temperature <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name: Hand Sink: • F Chlorine: PP m Heat: °F <br />Exp. Date: Warewashing Sink: .F iQuat. Amm.: ppm Other: °F <br />Received By / Title: ' <br />KCA c—.-9-L .— <br />EH Specialist: <br />( . <br />Phone: <br />61 i ?wf ef .r.3 -I 4 fg Time in: yi,o0 /V./ Time Out: <br />5: / 6.-4 /I <br />Page of <br />EHD 16-24 (2^4 pg) 4/3/13 <br /> FOOD PROGRAM OIR CONTINUATION