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SAN JOAQUIN COUIN <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.orgiehd <br /> <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: mei \i b C1--0( 4 4 p lc' :--'ci \ 4 Date: <br />Address: Tit, \c-i- City: INA 0 ctizg to Zip Code: <br /> 500 <br />Owner/Operator: irtinfi '10 6.10 r1?-.0 (2. -)) Telephone:Cflo,104 , (IV, <br />Program Element. Program Recotd: Inspection Type: .12“Aigle <br />SB180 Poste(' Yes No _J Permit Posted Yes ',"iicp Re-Inspection on or After: <br />OBSERVATIONS ANP'OFIREcTIV.KItelsk <br />D _nzrx Ifx_ -1.1-a- NV11 . 1 2 A r ' C - h On t CM -nl,2 -vr-ckiLoAz <br />0 -Nice -is ho ,01- yvoi-e)R . res-r0E-e -\--o c v, og can noi- <br />opeW-i-e, ,le+f (=i- folz uwiti -1-E) u..- a --khpirmal <br />p-ytorru,r -00-t-ii 0 c -1-- to co vicilz-M w al-eiz -f-rr <br />1-)CirclwaY, -11-i'l c Y- 1 al‘11 ,_ vnii I NA- ,f-t/r <br />Vsicil-eik Dn 11?-00V Ror 04 i k 1 b \ \ -kag or) E-tov-. • <br />O n ..Q, hoc P )011 a j rC uk 2 T\ c;\ k . <br />mit Ot Ci-ke i‘Acit in -0 n a cuikt or' al- <br />oll ti <br />4 o -to 5 vu2., FON-n‘ 'V- 201 C) <br />_ , n- c Oh Ci44:-) <br />Item/Location Temperature Item / Location Temperature <br />I CI V- b& 1 o 1 - <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name: 1c02.- btt4 'kit ci Hand Sink: . oF Chlorine: 4) ta.>k 1 pp m 1Heat: `F <br />Exp. Date: ../tc—/ bi, ., Warewashing Sink: i,F iDuat. Amm.: ppm Other: °F <br />Received By / Title: <br />-- <br />EH Specialist: • Phone: <br />7" 0 61 — 40 0 ,54. 4-C. <br />Time in: q :1 (-- Time Out: r• 0:co pa gq2of.-.2.. <br />END 16-24 (2nd pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION