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SAN JOAQUIN COL 'Y <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjcpv.orgiehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: y -,---1-1, , K Date: ), i /.../ i / 5 HOD YtWbi <br />Address: ; i ao A Zip Code: A l— City: AA(A, 4, <br />Owner/Operator: Y ..ljA.,; 737,(A Telephone: RAI -19 6-3q S il <br />ii,-) /9 Program Element: (il <br />v L, <br />Inspection Type: C(/),ri,..t,C1 /.- <br />f <br />u <br />Program Record: ,e, - <br />/ <br />7 / L.{.(3 <br />SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />-114-4A-,(4-.4/01 - fio / <br />VIN) <br />0-1~1 vu,twuz l4t-t,i44- <br />X 0 ic.- A icA4tict-y v i4 <br />• <br />, Item/Location <br />e , 4 ' ' 11, , 1 ,ily., . __ _________ <br />Temperature' Item / Location Temperature <br />r. <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />J Name: (4'--V-L, CI f /3",-7-c„ Hand Sink: Lt <br />0F Chlorine: ppm Heat: ' <br />Exp. Date: tv..v.,, ,, 3/ ., 0 / c7 Warewashing Sink: <br />f <br />J1 0 Quat. Amm.: ppm Other: 0 <br />Received By! Title: <br />. .___..../Ar - c, ,--4-, <br />EH Specialist: . . 1 , fk,\:.„ i el / A Phone: rc <br />Time in: <br />• (0 <br />Time Out: <br />ir: C ',)) <br />Page/ o2_,, <br />END 16-24 (2nd pg) 4/3/13 FOOD PROGRAM OIR CONTI IJATION